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侧卧位的优势。≤34 周胎龄早产儿（GA）奶瓶喂养时体位的对比研究。

Advantages of side-lying position. A comparative study of positioning during bottle-feeding in preterm infants (≤34 weeks GA).

机构信息

Department of Neonatology, Pathology and Neonatal Intensive Care Unit, Polish Mother's Memorial Hospital - Research Institute, Łódź, Poland.

出版信息

J Mother Child. 2022 Jun 9;25(4):269-276. doi: 10.34763/jmotherandchild.20212504.d-22-00008. eCollection 2021 Dec 1.

DOI:10.34763/jmotherandchild.20212504.d-22-00008
PMID:35675828
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9444194/
Abstract

BACKGROUND

The quality and safety of bottle-feeding in premature infants can be improved by optimal positioning. This study analysed the advantages of side-lying position (SLP) and semielevated position (SEP) during bottle-feeding in premature infants.

MATERIAL AND METHODS

A total of 42 neonates (n=42) born ≤34 weeks of gestational age were included in the study. Four feeding sessions-two in SLP and two in SEP- were analysed for each newborn. The level of saturation (SpO) and heart rate, which are the parameters assessing the physiological stability, were measured in the studied newborns. The other factors that were examined to determine the quality of feeding included the total time of decline of SpO to ≤85%, level of the newborn's alertness measured using the Neonatal Behavioral Assessment Scale, and the frequency of choking episodes. The proportion of milk consumed (volume of milk consumed relative to the volume expected) and the feeding duration as well as the total time of feeding session were recorded.

RESULTS

SLP was safer in terms of the frequency of choking episodes. Choking episodes were more frequently observed with feeding in SEP (<0.001). Moreover, the proportion of milk consumed by infants was statistically significantly higher in SLP (<0.046) compared to SEP. No significant differences in the other tested parameters were noted in infants fed in SLP and infants fed in SEP.

CONCLUSIONS

This study demonstrated that SLP is effective in reducing the number of choking episodes during feeding. The proportion of milk consumed was better when the neonates were fed in SLP.

摘要

背景

通过优化体位，可提高早产儿瓶喂的质量和安全性。本研究分析了早产儿瓶喂时侧卧位（SLP）和半坐卧位（SEP）的优势。

材料与方法

本研究纳入了 42 名（n=42）胎龄≤34 周的新生儿。对每个新生儿的 4 次喂养（2 次 SLP 和 2 次 SEP）进行分析。研究中测量了评估生理稳定性的参数，即饱和度（SpO）和心率。还检查了其他评估喂养质量的因素，包括 SpO 降至≤85%的总时间、使用新生儿行为评估量表评估的新生儿警觉度水平以及呛奶的频率。记录了摄入奶量的比例（实际摄入奶量与预期奶量的比值）、喂养持续时间和整个喂养时间。

结果

SLP 组呛奶的频率较低，更安全。与 SEP 相比，在 SEP 中更频繁地观察到呛奶事件（<0.001）。此外，与 SEP 相比，在 SLP 中婴儿摄入的奶量比例明显更高（<0.046）。在 SLP 中喂养的婴儿与在 SEP 中喂养的婴儿在其他测试参数上没有显著差异。

结论

本研究表明，SLP 可有效减少喂养过程中的呛奶次数。当新生儿采用 SLP 时，摄入的奶量比例更好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c2/9444194/718a6eea3181/jmotherandchild-25-269-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c2/9444194/aa1f717496cf/jmotherandchild-25-269-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c2/9444194/d68a7dafdf43/jmotherandchild-25-269-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c2/9444194/0a609c7f16b4/jmotherandchild-25-269-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c2/9444194/ac43cfbb68d6/jmotherandchild-25-269-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c2/9444194/d776bd5af563/jmotherandchild-25-269-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c2/9444194/718a6eea3181/jmotherandchild-25-269-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c2/9444194/aa1f717496cf/jmotherandchild-25-269-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c2/9444194/d68a7dafdf43/jmotherandchild-25-269-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c2/9444194/0a609c7f16b4/jmotherandchild-25-269-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63c2/9444194/ac43cfbb68d6/jmotherandchild-25-269-g004.jpg
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