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Feeding Problems and Long-Term Outcomes in Preterm Infants-A Systematic Approach to Evaluation and Management.早产儿的喂养问题及长期预后——评估与管理的系统方法
Children (Basel). 2021 Dec 8;8(12):1158. doi: 10.3390/children8121158.
2
The effects of oral feeding while on nasal continuous positive airway pressure (NCPAP) in preterm infants.经鼻持续气道正压通气(NCPAP)时经口喂养对早产儿的影响。
J Perinatol. 2020 Jun;40(6):909-915. doi: 10.1038/s41372-020-0632-2. Epub 2020 Feb 21.
3
Preterm infant feeding performance at term equivalent age differs from that of full-term infants.早产儿在相当于足月年龄时的喂养表现与足月儿不同。
J Perinatol. 2020 Apr;40(4):646-654. doi: 10.1038/s41372-020-0616-2. Epub 2020 Feb 17.
4
"Pressure" to feed the preterm newborn: associated with "positive" outcomes?给早产新生儿喂食的“压力”:与“积极”结果相关吗?
Pediatr Res. 2017 Dec;82(6):899-900. doi: 10.1038/pr.2017.198. Epub 2017 Sep 13.
5
Non-nutritive sucking for increasing physiologic stability and nutrition in preterm infants.非营养性吸吮对提高早产儿生理稳定性和营养状况的作用
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Oral Alimentation in Neonatal and Adult Populations Requiring High-Flow Oxygen via Nasal Cannula.经鼻导管高流量给氧的新生儿和成人的口服营养
Dysphagia. 2016 Apr;31(2):154-9. doi: 10.1007/s00455-015-9669-3. Epub 2015 Nov 21.
7
Pediatric Dysphagia: Physiology, Assessment, and Management.小儿吞咽困难:生理学、评估与管理
Ann Nutr Metab. 2015;66 Suppl 5:24-31. doi: 10.1159/000381372. Epub 2015 Jul 24.
8
Development of Suck and Swallow Mechanisms in Infants.婴儿吸吮和吞咽机制的发育
Ann Nutr Metab. 2015;66 Suppl 5(0 5):7-14. doi: 10.1159/000381361. Epub 2015 Jul 24.
9
Improving preterm infant outcomes: implementing an evidence-based oral feeding advancement protocol in the neonatal intensive care unit.改善早产儿预后:在新生儿重症监护病房实施基于证据的经口喂养进展方案。
Adv Neonatal Care. 2014 Oct;14(5):346-53. doi: 10.1097/ANC.0000000000000099.
10
Effect of nonnutritive sucking and oral stimulation on feeding performance in preterm infants: a randomized controlled trial.非营养性吸吮和口腔刺激对早产儿喂养性能的影响:一项随机对照试验。
Pediatr Crit Care Med. 2014 Sep;15(7):608-14. doi: 10.1097/PCC.0000000000000182.

口腔运动干预联合非营养性吸吮对吞咽障碍早产儿经口喂养的临床效果。

Clinical effects of oral motor intervention combined with non-nutritive sucking on oral feeding in preterm infants with dysphagia.

机构信息

Hainan Affiliated Hospital of Hainan Medical University, Hainan General Hospital, Department of Pediatrics, Haikou, China.

Hainan Affiliated Hospital of Hainan Medical University, Hainan General Hospital, Department of Critical Care Medicine, Haikou, China.

出版信息

J Pediatr (Rio J). 2022 Nov-Dec;98(6):635-640. doi: 10.1016/j.jped.2022.02.005. Epub 2022 May 13.

DOI:10.1016/j.jped.2022.02.005
PMID:35569569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9617285/
Abstract

OBJECTIVE

To explore the effectiveness of oral motor intervention combined with non-nutritive sucking in treating premature infants with dysphagia.

METHODS

Sixty preterm infants admitted to the neonatal intensive care unit of the present study's hospital were selected and randomly divided into the control and intervention groups. The control group was given non-nutritive sucking intervention alone, while the intervention group was given oral motor intervention combined with non-nutritive sucking. The oral motor ability, milk sucking amount and sucking rate, feeding efficiency and outcomes, and the occurrence of adverse reactions were measured and compared.

RESULTS

Compared to first-day interventions, preterm infant oral feeding readiness assessment scale-Chinese version (PIOFRAS-CV) scores of the two groups significantly increased after 14 days of intervention, and this score was higher in the intervention group compared to the control group. Similarly, after 14 days of intervention, the intervention group's milk sucking rate and amount were significantly higher than the control group. Also, after the intervention, the intervention group's total oral feeding weeks were considerably lower, while the feeding efficiency and body weight were significantly higher than the control group. Moreover, the overall adverse reaction rate in the intervention group was lower than that in the control group.

CONCLUSIONS

Oral motor intervention combined with non-nutritive sucking can significantly improve the oral motor ability of premature newborns, promote the process of oral feeding, improve the outcome of oral feeding, and reduce the occurrence of adverse effects. The combined intervention seems to have a beneficial effect on oral feeding proficiency in preterm infants.

摘要

目的

探讨口腔运动干预联合非营养性吸吮对治疗吞咽障碍早产儿的效果。

方法

选取本院新生儿重症监护病房收治的 60 例早产儿,随机分为对照组和干预组。对照组给予非营养性吸吮干预,干预组给予口腔运动干预联合非营养性吸吮。比较两组早产儿口腔运动能力、奶量吸吮量和吸吮率、喂养效率和结局以及不良反应的发生情况。

结果

与干预第 1 天相比,两组早产儿口腔喂养准备评估量表中文版(PIOFRAS-CV)评分在干预第 14 天均显著升高,且干预组高于对照组。同样,干预 14 天后,干预组的奶量吸吮率和吸吮量均明显高于对照组。此外,干预后干预组的总口腔喂养周数明显降低,而喂养效率和体重明显高于对照组。而且,干预组的整体不良反应发生率低于对照组。

结论

口腔运动干预联合非营养性吸吮可显著提高早产儿的口腔运动能力,促进口腔喂养进程,改善口腔喂养结局,降低不良反应的发生。联合干预对早产儿的口腔喂养能力似乎有有益的影响。