按摩对治疗早产儿喂养不耐受的效果：一项随机对照试验的研究方案。
Effect of Massage on treatment of preterm feeding intolerance: Study protocol for a randomized controlled trial.
机构信息
Department of Neonatology, Children's Hospital of Chongqing Medical University, Chongqing, China.
National Clinical Research Center for Child Health and Disorders, Chongqing, China.
出版信息
Nurs Open. 2023 Jul;10(7):4817-4824. doi: 10.1002/nop2.1733. Epub 2023 Apr 17.
AIM
To evaluate the effectiveness of massage on treating feeding intolerance (FI).
DESIGN
A randomized, controlled, prospective clinical trial.
METHODS
A total of 104 preterm infants whose gestational age between 28 and 34 weeks and birth weight between 1000 and 2000 g with diagnosis of FI were recruited. Participants were stratified by birth weight (1000-1499 g or 1500-2000 g) and randomized to either the intervention group, who will receive 7 days of massage, or the control group. The primary outcome is the time to reach full enteral nutrition. Secondary outcomes include duration of FI, change of body index, length of hospitalization, change of gastric residual volume, abdomen circumference and defecation measurement before and after 7 days of intervention.
RESULTS
Results of this study, which includes index on FI and physical development, have the potential to provide evidence that massage will alleviate symptoms of FI, and contribute to the long-term positive outcome of preterm infants.
目的
评估按摩治疗喂养不耐受（FI）的效果。
设计
随机、对照、前瞻性临床试验。
方法
共纳入 104 例胎龄 28-34 周、出生体重 1000-2000g、诊断为 FI 的早产儿。根据出生体重（1000-1499g 或 1500-2000g）进行分层，将参与者随机分为干预组（接受 7 天按摩）或对照组。主要结局是达到完全肠内营养的时间。次要结局包括 FI 持续时间、身体指数变化、住院时间、胃残留量变化、干预 7 天后腹部周长和排便测量值。
结果
本研究结果（包括 FI 和身体发育指标）有可能提供证据表明按摩可以缓解 FI 症状，并有助于早产儿的长期积极结局。
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