摘要
目的探讨嗅觉和味觉刺激对管饲喂养早产儿喂养进程及肠内营养并发症的影响,为早产儿营养支持提供参考。方法将165例早产儿按照住院时间分为对照组76例和干预组89例。对照组给予常规管饲喂养护理,干预组在对照组基础上开展嗅觉和味觉刺激,即在管饲喂养前5 min用浸润母乳的纱布接近早产儿鼻孔提供嗅觉刺激,将母乳涂抹于早产儿嘴唇和舌头提供味觉刺激。结果干预后,干预组喂养过渡时间、留置胃管时间、肠外营养维持时间显著短于对照组(P<0.05,P<0.01)。两组住院时间及坏死性小肠结肠炎、自发性肠穿孔并发症发生率差异无统计学意义(均P>0.05)。结论开展嗅觉和味觉刺激有利于缩短管饲喂养早产儿喂养进程,缩短喂养过渡时间、留置胃管时间及肠外营养维持时间,促进早产儿康复。
Objective To explore the effects of olfactory and gustatory stimulation on preterm infants fed by tube feeding,and to provide reference for nutrition therapy for preterm infants.Methods Totally,165 premature infants in NICU were divided into a control group of 76 cases and an intervention group of 89 cases according to the periods of hospital stay.The control group received conventional tube feeding nursing care,while the intervention group additionally received olfactory and gustatory stimulation on the basis of the control group:before tube feeding,the nurse used breast-milk-soaked gauze to approach the nostrils of the premature baby to provide olfactory stimulation,and applied breast milk to the lips and tongue of the premature baby to provide gustatory stimulation.Results After intervention,the feeding transition time,gastric tube indwelling time,and duration of the parenteral nutrition in the intervention group were significantly shorter than those in the control group(P<0.05,P<0.01).There were no significant differences in the length of hospitalization,the incidence rates of necrotizing enterocolitis,and spontaneous intestinal perforation,between the two groups(P>0.05 for all).Conclusion The practice of olfactory and gustatory stimulation can speed up feeding process of premature infants fed by tube feeding,and effectively shorten the feeding transition time,gastric tube indwelling time,and duration of the parenteral nutrition,which boosts recovery of premature infants.
作者
乐琼
陈永红
吴丽芬
兰红
汪红萍
邓先锋
Le Qiong;Chen Yonghong;Wu Lifen;Lan Hong;Wang Hongping;Deng Xianfeng(Department of Pediatrics,Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《护理学杂志》
CSCD
北大核心
2021年第19期32-34,共3页
Journal of Nursing Science
基金
湖北省自然科学基金一般面上项目(2020CFB792)
湖北省卫生与健康委员会基金项目(WJ2021M245)。
关键词
早产儿
管饲喂养
嗅觉刺激
味觉刺激
肠内营养
喂养过渡时间
premature infants
tube feeding
olfactory stimulation
gustatory stimulation
enteral nutrition
feeding transition time
