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《重力喂养结合非营养性吸吮、俯卧位及抚触治疗等综合护理干预在早产儿喂养的疗效观察.doc》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、重力喂养结合非营养性吸吮、俯卧位及抚触治疗等综合护理干预在早产儿喂养的疗效观察doi:10.3969/j.issn.1007-614x.2014.21.98摘要目的:探讨综合护理干预对早产儿喂养效果的影响。方法:2011年12月-2013年12月收治早产儿70例,随机分为研究组和对照组,研究组采用重力喂养结合非营养性吸吮、俯卧位及抚触治疗等综合护理干预护理方式,对照组采用常规间断鼻饲喂养的护理方式,比较两组的喂养情况和耐受情况,包括鼻胃管留置时间、恢复出生的体质量时间和足量胃肠喂养达418.4kJ/(kg
2、?d)时间等。结果:研究组患儿鼻胃管留置时间、恢复出生的体质量时间和足量胃肠喂养时间均显著低于对照组,两组之]'可差异具有统计学意义(P〈0・05);研究组患儿呕吐、腹胀、胃残留和呼吸暂停的不耐受率均低于对照组,两组之间差异具有统计学意义(1X0.05)。结论:重力喂养结合非营养性吸吮、俯卧位及抚触治疗等综合护理T•预能够有效地促进早产儿的胃肠道功能成熟,显著提高喂养的耐受性,促进患儿生长发育,改善患儿生存质量。关键词综合护理喂养疗效Efficacyobservationofgravityfeedingc
3、ombinedwithnonnutritivesucking,pronepositioningandtouchtherapyandothercomprehensivenursinginterventionforthepreterminfantswithfeedingFengYuqiongTheFirstMaternityandChildHealthHospitalofHuizhouCity,Guangdong516001AbstractObjective:Toexploretheeffectofcompr
4、ehensivenursinginterventiononprematureinfantswithfeeding.Methods:70casesofprematureinfantswereselectedfromDecember2011toDecember2013,theywererandomlydividedintothestudygroupandthecontrolgroup,thestudygroupusedgravityfeedingcombinedwithnonnutritivesucking,
5、pronepositioningandtouchtherapyandothercomprehensivenursinginterventionofnursingcare,thecontrolgroupusedconventionalintermittentnasogastrictubefeeding,wecomparedthefeedingandtolerancesituationofthetwogroups,includingnasogastrictubeindwellingtime,recoveryb
6、irthbodytimeandmasssufficiententera!feedingupto418.4kJ/(kg?days)time.Results:Thenasogastrictubeindwellingtime,recoverybirthbodytimeandmasssufficiententeralfeedingtimeofthestudygroupwithwassignificantlylowerthanthoseofthecontrolgroup,withsignificantstatist
7、icaldifferencebetweenthetwogroups(卩〈0.05);thenottolerancerateofvomite,abdominaldistention,gastricresidualandsuspendedbreathingofthestudygroupwerelowerthanthoseofthecontrolgroup,withasignificantstatisticaldifferencesbetweenthetwogroups(P<0e05)•Conclusion:G
8、ravityfeedingcombinedwithnonnutritivesucking,pronepositioningandtouchtherapyandothercomprehensivenursinginterventioncaneffectivelypromotegastrointestinalfunctionofprematurematuration,itcansignificantlyimprovethetole