母乳在管饲喂养早产儿口腔护理中的应用效果评价

doi:10.3969/j.issn.1006-9143.2017.04.002

天津护理

母乳在管饲喂养早产儿口腔护理中的应用效果评价

福建省立医院，福建福州 350001

收稿日期:2017-03-04 修回日期:2017-04-28 出版日期:2017-08-28 发布日期:2017-09-07

Effects evaluation of breast milk on oral care for premature infants feeding by tube

Fujian Provincial Hospital, Fuzhou Fujian 350001

Received:2017-03-04 Revised:2017-04-28 Online:2017-08-28 Published:2017-09-07

摘要/Abstract

摘要：

目的：观察用母乳进行口腔护理对管饲喂养早产儿口腔清洁度喂养不耐受及早产儿生长发育的影响。方法：将2015年2月至2016年6月收治的95例管饲喂养早产儿（其中5例患儿家属要求自动出院），根据置管时间的先后顺序分为单双号，其中单号为观察组，双号为对照组；观察组45例，选用母乳进行口腔护理；对照组45例，选用0.9%氯化钠溶液进行口腔护理。比较两组管饲喂养早产儿口腔清洁度、口腔感染发生率、喂养不耐受及坏死性小肠结肠炎（NEC）发生率、胃管留置时间、矫正胎龄37周体重增长百分比。结果：观察组管饲喂养早产儿矫正胎龄37周体重增长百分比、口腔清洁度明显高于对照组，且观察组管饲喂养早产儿口腔感染发生率、喂养不耐受发生率、NEC发生率、胃管留置时间均低于对照组，两组数据比较差异具有统计学意义（P<0.05）。结论：母乳口腔护理应用于管饲喂养早产儿可有效清洁口腔，减少口腔感染。微量母乳遗留于口腔可通过早产儿吞咽动作进入胃肠道，促进其胃肠道功能发育成熟，增强其抵抗力，缩短从管饲喂养过渡到经口足量喂养时间，减少喂养不耐受及NEC发生。

关键词: ,

母乳；早产儿；口腔护理；管饲喂养

Abstract:

Objective: To observe the effects of breast milk on oral care for premature infants feeding by tube. Methods: 90 premature infants breastfeeding by tube from February 2015 to June 2016 were divided into treatment group and control group according to indwelling number. The 45 cases in treatment group were cared with oral immunotherapy by breast milk, the other 45 cases in control group were by 0.9% sodium chloride solution. The oral cleanliness, incidence rate of oral infection, incidence rate of feeding intolerance and necrotizing enterocolitis(NEC), retention time of stomach tubes, increased percentage of fetus at 37w gestational age were compared between these two groups. Results: All clinical indexes in treatment group were obviously better than that of in control group（P<0.05）. Conclusion: Oral care of breast milk can be applied to premature infants feeding by tube, so as to reduce oral infection rate. Slight breast milk in oral can get through into gastrointestinal tract with swallowing, it can make gastroenteric maturation, strengthen immunity, reduce the transitional time from tube feeding to mouth feeding sufficiently, reduce incidence rate of feeding intolerance and NEC for premature infants.

Key words:

Breast milk, Premature infants, Oral care, Enteral and tube feeding

徐倩倩卓瑞燕程奇金调芬. 母乳在管饲喂养早产儿口腔护理中的应用效果评价[J]. 天津护理, DOI: 10.3969/j.issn.1006-9143.2017.04.002.

XU Qian-qian, ZHUO Rui-yan, CHENG Qi, JIN Diao-fen.

Effects evaluation of breast milk on oral care for premature infants feeding by tube

[J]. , DOI: 10.3969/j.issn.1006-9143.2017.04.002.

[1]	龙裕赵乃明李洋但鑫. 护士自我效能在个人创新行为和职业成功中的中介作用[J]. 天津护理, 2020, 28(2): 143-147.
[2]	陈小岑魏婷婷阎玲. 肿瘤科护士职业生活品质现状及其影响因素分析[J]. 天津护理, 2020, 28(2): 152-156.
[3]	任怡贾敬波孙燕. “护理应急管理”在新型冠状病毒肺炎突发公共卫生事件中的应用[J]. 天津护理, 2020, 28(2): 171-173.
[4]	孙静胡淑琪宫坤孙爱杰. Er:YAG激光行口腔内软组织肿物手术的护理配合[J]. 天津护理, 2020, 28(2): 197-198.
[5]	李奇. 阿昔洛韦与咪达唑仑存在配伍禁忌 [J]. 天津护理, 2020, 28(2): 204-204.
[6]	郝雅楠. 肿瘤专科医院护生职业认同感对人文关怀能力的影响[J]. 天津护理, 2020, 28(1): 10-13.
[7]	赵玉玲黄沂周艳琼李静吕阗霍佳妮. 恶性肿瘤患者疾病不确定感与创伤后应激障碍相关性研究[J]. 天津护理, 2020, 28(1): 14-17.
[8]	刘延锦郭玉茹蔡立柏王彦艳徐慧萍高欢欢徐秋露王敏. 基于10种中文护理核心期刊2012—2018年人文护理文献计量分析[J]. 天津护理, 2020, 28(1): 18-21.
[9]	王静马静. 基于主成分分析法的天津市某三级甲等医院CCU患者满意度分析[J]. 天津护理, 2020, 28(1): 47-50.
[10]	于丽娜刘婷郑瑞双曹洁董凤齐. 肝癌生存者支持性照顾需求和心理韧性的相关性研究[J]. 天津护理, 2020, 28(1): 51-54.
[11]	孟学军耿爱香. 延续护理对农村老年慢性阻塞性肺疾病患者治疗依从性的影响[J]. 天津护理, 2020, 28(1): 75-77.
[12]	郝英母海波. 规范化疼痛管理在先天性心脏病患儿外科术后疼痛中的应用[J]. 天津护理, 2020, 28(1): 78-81.
[13]	赵娜娜. 椅旁即刻全瓷嵌体修复的护理配合[J]. 天津护理, 2020, 28(1): 81-82.
[14]	宋娅琴刘文霞. 60例急性主动脉综合征患者的护理[J]. 天津护理, 2020, 28(1): 88-90.
[15]	祝小丹. 医院一家庭病床一体化干预对脑卒中偏瘫患者肢体功能康复的影响[J]. 天津护理, 2020, 28(1): 90-92.

母乳在管饲喂养早产儿口腔护理中的应用效果评价

Effects evaluation of breast milk on oral care for premature infants feeding by tube

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics