将口面刺激与温柔的触摸治疗相结合,可以改善早产婴儿的哺乳耐受性和体重增加
Fan Yao1, Qiong Mei1, Ling Guo1
1Neonatal Ward Two, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science Wuhan 430016, Hubei, China.
American journal of translational research
|March 17, 2025
概括
将口面刺激与温柔的触摸治疗相结合,显著改善了早产婴儿的母乳养不耐受和体重增加. 这种结合的方法提高了口腔运动功能和营养状况,比单纯的温和触摸更有效.
科学领域:
- 新生儿科学 新生儿科学
- 儿童营养学 儿童营养学
- 发育儿科 发育儿科
背景情况:
- 过早出生的婴儿往往会经历母乳养不耐受,影响他们的生长和营养状况.
- 耳鼻面部刺激和温柔的触摸疗法是用于支持婴儿养和发育的干预措施.
研究的目的:
- 评估口腔面部刺激和温柔触摸治疗在改善母乳养不耐症和促进早产婴儿体重增加方面的联合疗效.
- 为了比较结合疗法与单独的温柔触摸疗法的结果.
主要方法:
- 一个回顾性队列研究,涉及236名早产婴儿与母乳养不耐受.
- 婴儿被分为一个组合组 (温柔的触摸 + 口面刺激) 和一个单触摸组.
- 评估结果包括哺乳不耐受,口腔运动功能 (新生儿口腔运动评估量表),增长参数和三个月的营养标志物.
主要成果:
- 组合组在母乳养不耐受性 (60%比30%) 和口腔运动功能的改善率显著更高.
- 组合组在1个月和3个月后观察到体重,身高和头周长的增加更大.
- 联合治疗导致剩余牛奶减少,,白蛋白和前白蛋白水平增加,胆红素水平降低.
结论:
- 对早产婴儿来说,口面刺激和温柔的触摸治疗的结合比仅仅温柔的触摸更有效.
- 这种综合方法显著提高了这一弱势群体的母乳养耐受性,口腔运动技能,生长和营养状况.
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