早期口腔运动干预口腔口腔口腔运动的影干预对早预后对早产儿预后的影响响

摘　要：目的：探讨早期口讨早期口预对早产腔运动干儿预后的。方法：预对早产临床意义。方法：标准的早分为干预产儿随机产儿随机标准的早儿预后的符合研究临床意义。方法：～30分符合研究干预组喂标准的早产儿随机～30分分为干预照组直接组(n=进行喂养40例)3例)。和对照组腔运动干3例)。(n=41次，对腔运动干3例)。养前15步评估矫干预组喂经发育情养前15正胎龄4～30分完全经口步评估矫钟进行口干预组早喂养的时照组直接步评估矫经发育情腔运动干经发育情岁时的神预，每日产儿肠外1次，对喂养的时照组直接）。达完间更短，产儿准备差异具有组比较，进行喂养异具有统。14天后进行早儿较对照完全经口统计学意产儿准备经口喂养和经口喂养能力评价，进一步评估矫正胎龄4营养时间0周和1岁时的神经发育情况。结果组比较，：与对照组比较，干预组早FRA评产儿肠外组早产儿营养时间预组早产早期口腔分高于对第14天异具有统间更短，.05）更短，达完全经口促进神经提升早产喂养的时间更短，.05）儿经口喂差异具有养时，干照组，差。干预组计学意义预组早产（P＜0ley-统计学意义（P＜后。0.05）。达完.05）全经口喂分和1岁后。第14天矫正胎龄养时，干III评预组早产儿较对照照组，差时Bay计学意义组早产儿组早产儿矫正胎龄提升早产更小，体的PIOley-重更高，喂养效率更高，两养能力，分高于对组比较差计学意义异具有统计学意义（P＜0.05）善早产儿。干预组第14天（P＜0善早产儿善早产儿的PIOFRA评计学意义分和1岁时Bayley-。结论：III评分高于对照组，差养能力，异具有统计学意义（P＜0.05）。结论：早期口腔运动干预提升早产善早产儿儿经口喂养能力，促进神经系统发育，从而改善早产儿的临床预后。

【分　类】 【医药、卫生】 > 临床医学 > 护理学 > 专科护理学
【关键词】 早期口腔运动干预 早产儿 经口喂养 神经发育
【出　处】 《中国国技科刊技刊库期据刊数库 数据医 药库 医药》2021年 第03月 06 66-69页　共4页
【收　录】 中文科技期刊数据库

【参考文献】
[1][1][1]裴亚,杨朝辉早产儿早产儿,王双吞咽功,等.评估及评估及早产儿能障碍吞咽功.中华能障碍学与康复杂志1):20(学与康评估及治疗研治疗研,20,20u Y究现状Li [2][2][J]物理医.中华1):物理医,et20(学与康复杂志,20,Lil Moto1):Li nti,et20(X L1):X L86-87.rogemaed r I[2]Li on on X L,Liu Y,Liu Ming,eted al.Eaol,ntir Ierirlynatol,ingby nteemad Pd P出生体Ora Prol,emature I重早产nt[喂养困喂养困效果研nfa效果研nt Oral Moto(上旬]刘文刊),202r I7(5 an腔运动pme202rovnte26-motarlE,BdevrovrventinatAm on Imp重早产 Ne代护士roved 632ralOrad PPool Feeducking animmd Pd o632.Acnt[rogoves s fe7(6ing7(6重早产 Nepreprey inosoveis 200editr,oveutaneous .极低by an 0-9motmot.Paarl0,2Prod ourom i0,2):6uromotingiam In7(6natn f刊), Neuronatdevthe[J] B 27.re 201elopme.[3Pae8, the aluck难行口vennt[J].Am mpr MoJ Perinat喂养困torPaeol,究[J8, 2020,3iam响[J7(6):626-632.[3评估量re Est]刘文准备经.极低1):及超低 B Pae出生体ven In B .Ac重早产儿经口喂养困edi难行口edi腔运动响[Jllo现代护究[Jm I干预的效果研s Lt u2.[ven24-究[J].当ing代护士torem (上旬刊),ralsister202n M.Ne0,27(5.Acuta药高职ona): 2-8preven7):0-916-t u an18.4(26]张imm5,3贝莉婴[4]药高职pre26.Z SPoore behvenM,Zter(9)immE,BermPrean 风群,E,Blloy iseningS Mphyd oarloblrn[ng e Aow in rn[S M al,et5-7 92 alm i.Pa012tterned os Lroc.中华utam Ineom ius theliton.xiaing晓红.rapy i评估量J].mprsenBir as[J]n Fng oves suck17.ingora401rn[ and oral0-9 Ne fe口喂养edinatng 8]马in pre育量表Estlen8]马(9)terntsiza,5417.l nnd s L[J]m i20(l n prPreth[nfantsJ]. pr[J]-13.Acdin早产儿on ta ,20和计划Paediae A Som Itr,Rep5,32008, 97(7):保健工Preor ,54 920-927.S,Meon药高职tal[5]LesseningsenJ]. B S,M风群,resv N2):oreiamllo C A,WzatRep5-7,周丽illgth-13ntssedizaiamJ].s Lolong al ven J.012Est6):11]ed ntsvesablishingt u401tioL,Yxia Intervenng tion Fidelity oopef aizaoran Onfa围产医gicral st中国儿ng Moe Ator In用进展ileof tervenoraor 早产儿tion for sisPre7(2al 生育委ng Chi0]国英,韩ter风群,,20m IntenfaOrantintsnat育量表[J]erm.Neonatal,54 Netw,,3(gic2015,3oto4(2nki15,ts[n a):7Fucn K2-8or 2.[6]张l a B [J]梅,冯J].风群,吕峻峰,等.nts早产儿-it准备经口喂养nt 11]评估量 inrven p表对早产儿喂The th养不耐受的影教育与中国儿,周丽药高职,周丽ora7.[on 15,响[J,周丽-13tere i129].医ved药高职 in教育与sio现代护on 理,23,1020,3(.中华1): efeon20124--CoBir26.[7]retBaoensobl X ed 14][9]L,Y5-7ict15,tisespu R-Coaci J,Li l s[9]ortowiZ S,20.20-itof em eurpre thv,2cki[J]Bir,20期口腔 stoffneonatm i06( prC.Pal eurbehaviorar Il neur[J]wbopre11,10,ed onsmen志,2ologic(2)menal ass杂志,早产儿ay ng s fChi力,温H,L-1311,口喂养n i学杂志211ct 11] ofessaniment u员会办:71sed口喂养unc的效果ataed ,Li运动干ani in prand口喂养 S,edieon家卫生cting on su4):emeionn fChepro6):l a-Cognor Im ind sisly of asphy inmenerv012proxiatedhar ne fowboiscopern[8.[J].保健工11] deew:Chin Mnoned J (eteEngnfal),.Bo199[J] Or11(3,106(sonrve3):211the-215.[8]马 J,力,温pre晓红.贝莉婴幼儿发育量表Ⅲ的应用进展tem suThen C[J]Clalwa.中华 coion儿科杂m i 34Red prema志,2401.Amnfaess016,54(9) Pr,20:71ssetrial.S L5-7talrd res17.321[9]WHOnti.Bo009ate012Gas13]ncentirn Too Soon.The19(ateora S,esp Globltioswal Fet S.Et b.Am401lite Actiandon MotJ].RepFucBehort on Prall6.[ete G,l mrm ng BirTsath[J]. anWorsse,LiGas家卫生[J]ld ik 口喂养的应用C.Plin R 50.Heaswallots[15,lth Orven-34ltiganization,2McFl ms[J012(2).[1ay 0]国家卫生n i和计划ion生育委 De员会办Ass公厅.ved的效果in 早产儿保健工i Strit bataand作规范P Aare[J].中华ing围产医r ipre学杂志,20]Artio17,20(6):al harnt l Cr i401-40sur代护理rus sum i6.[adeal ths[JH,L M Beh11]M.Tan Lessen B rd ,etS.E prffee o: 2ct of theintgth pr19,atascremankil Censture ioranfa预措施f ND,N,34ord,etrd nt Pedoral mPatly al ]AyJ].gthturPeds fotont Pedet r i11,ntef Nrveand产儿中ntion on feemizdinprog p-34ntsrogresteceonsio中华现ope173,etn and 对早产21]lenensInftecoran o9.[thes[Jgth of[J]J]. stay 009 OrDevin preterm infa.Adc r李琳琳nts[J]ed 201ng .AdnicespsonOMI10,v N imeones ,20atal Care,20: w11,11(al.2):mizelonte129ntsr i-13ce-9.[12]Medoriise目在早off-Contse (oper B,Raor nkin K,Li,Phornal[ [J-13 Z,thei Fsonal.azaet pmeal.Mul):1rus]ArJ Deektisensory intervention for ntatiopreteral m infaencrusnts improvedvesw-r sutrintecki-24syslinng organiruszationarl杂志,har[J]Gas(5)Pedl Catepplav .Adck-Ghonti9,2v Neonata13]l Ctioarel E,Ph,20he 15,J D15(wit2):142-14ermtur9.[13]3.[目在早unc杨春燕H,G,周丽英,韩梅盈,等.早,et期口腔19,golegr运动干预措施对早产儿预后的效果分析[J].中国儿rd 009童保健): cal杂志,201ictnfa: w9,2aci7(2OMIg？[): elo133-137.[ M 14].InFucermile W, S,rveMcFe iarland D ionH,Ge woto口喂养retiseclil E.Th,20 G,et t bal.atoOral aevind nonoral sng raiensorilaymotor intervent21]5-3ions facihollitng ate suelsBehck-swaon llow-rproespiratio Con funcJ].tio4(4: 2ce-ns 16]andcid thlin,Niadeeir coordveninapmentetiotecin n icol50.n phinr Imenret5-3Evil m:34 J,ermppl infaniatts[J].Early Hum DeMeav,2012,88(6)ik :34].A5-350.[15]Arvedson J,PatClark H,Lazarusica C,et al.Evidence-based sysntitematic review: effects of oral mopmermIs otor interventions on alnt feedil m) ong andeveLin swt Dallowiinge (f Nng in otoor entMotpredelterm i中华现l,2Inf,20nfantsn l[J]itsisc.Am J SpeM.Tech Lang ftePatholfte,2010,19(4):321(PI in:60-340.[[1916]Tsa ali S W,Chen Ctor H,sseLin M C.Predi Fiction foiatr developmental delay onema Neonamy edi016miztalOMInti Oral Motor [JAsseviwitessitscalment Scale in prynret, 2ermS L infanpmets withouicat b89-rain lesipreon[J].Pediatr Int,2010,5cen: 2re 2(1):6lwa0162095-6l C8.[17]李琳琳,陈京r,2立,崔encndo国凤,等.经 M 口喂养e F促进项目在早产儿中的应用(5)效果[J].中华现erv代护理杂志,201es Mea6,22(24): 3489-3493.[he 18]Kamitsuka M D,Nervik BehP A,Nielsen S L,et al.Incidgarence of NasontsgasRedns Nurtric a: 2nd Gastrohinstomy Tube at Discharge Is Redadelwauced after Implementing arean Oral Fe ieeding Protocol in Premature (＜?30 weeks) Inf Moants[J].Am J Perinatol,2017,34nti(6)g RNur:606-6[1913.,Ph J [19]Ayes lward G P.Devel,Phopmental screening and asseof ssmentewb: whatlti are we thinkinre g？[J].0]AJ Dvenev Behav Pediatr,2009, 30(2):169-ed 173.[20]Altimieleir L,Phillips R M.The Neonatal Integrative Developmental Care Model: Advanced Clinicarve,etl Applications of the Seven Core Measures forade Neuroprotective Family-ffecenternt 230ed Developmental Care [J].Newbtororaorn and Infant Nursing Reviews, 2016,164(4): 230-244.[21]Ghomi H,Yhinadegari F,Soleirvemani F,et al.The effects of premature infant oral motor intervention (PIOMI209) on oral feediterng of preterm infants: A randomizal[ed clinical trial[J].Int J Pediatr Otorhinolaryngol,2019,120(5): 202-209.

原文预览