Mattes R D, Maone T, Wager-Page S, Beauchamp G, Bernbaum J, Stallings V, Pereira G R, Gibson E, Russell P, Bhutani V
Purdue University, Department of Foods and Nutrition, West LaFayette, IN 47907-1264, USA.
J Obstet Gynecol Neonatal Nurs. 1996 Jun;25(5):407-14. doi: 10.1111/j.1552-6909.1996.tb02445.x.
To evaluate the effect of sweet taste stimulation in augmenting the reported growth-enhancing effects of nonnutritive sucking in preterm infants who are gavage-fed.
Random assignment of preterm infants to receive stimulation by one of three methods during each feeding until totally orally fed.
Hospital intensive-care and infant transitional units.
Eligibility criteria included body weight greater than or equal to 1,250 g, gestational age younger than 34 weeks, growth parameters appropriate for gestational age, tolerating at least 100 kcals/kg/day by gavage feeding with evidence of weight gain, and no clinical evidence of health complications. Data are presented for 42 infants who completed 14 days of treatment.
Exposure to a sweet pacifier, a latex pacifier, or maternal heartbeat sounds during gavage feedings.
Growth, time to total oral feeding, and sucking responses.
No significant differences in sucking measures were noted among treatment groups. Differences in progression time to total oral feedings and weight gain favored the sweet-pacifier group but were not statistically significant.
Oral stimulation of gavage-fed, preterm infants during a 2-week hospitalization was not sufficient to elicit a significant improvement in growth efficiency, progression to total oral feedings, or sucking maturation. Additional studies may show a beneficial effect of chemosensory stimulation in preterm infants.
评估甜味刺激对增强经鼻饲喂养的早产儿非营养性吸吮所报告的生长促进作用的效果。
将早产儿随机分组，在每次喂养期间通过三种方法之一接受刺激，直至完全经口喂养。
医院重症监护病房和婴儿过渡病房。
纳入标准包括体重≥1250克、胎龄小于34周、生长参数符合胎龄、经鼻饲喂养能耐受至少100千卡/千克/天且有体重增加证据，以及无健康并发症的临床证据。呈现了42名完成14天治疗的婴儿的数据。
在鼻饲喂养期间使用甜味安抚奶嘴、乳胶安抚奶嘴或听母亲心跳声。
生长情况、完全经口喂养的时间和吸吮反应。
各治疗组在吸吮指标上未观察到显著差异。完全经口喂养进展时间和体重增加方面的差异有利于甜味安抚奶嘴组，但无统计学意义。
在为期2周的住院期间，对经鼻饲喂养的早产儿进行口腔刺激不足以显著提高生长效率、促进完全经口喂养或使吸吮成熟。更多研究可能会显示化学感觉刺激对早产儿有有益作用。
