柔性口腔运动刺激协议对早产婴儿食表现的影响:系统性审查和元分析
Golnoosh Golmohammadi1, Mozhgan Asadi2, Kowsar Baghban3
1Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran.
概括
福西尔口服运动刺激方案显著缩短了早产婴儿完全口服养和住院的时间. 这项干预措施有望改善新生儿重症监护病房的营养结果.
科学领域:
- 新生儿科学 新生儿科学
- 儿科胃肠病学 儿科胃肠病学
- 发育儿科 发育儿科
背景情况:
- 过早出生的婴儿通常会因为不成熟的食协调而延迟全口食 (FOF).
- 福西尔口腔运动刺激方案旨在改善这一群体的食进展.
- 优化养里程碑对于早产婴儿发育和出院至关重要.
研究的目的:
- 评估Fucile口腔运动刺激方案在早产婴儿中的有效性.
- 关键目标包括减少过渡时间到FOF和缩短住院时间.
- 该研究还旨在评估其他养相关结果的改善.
主要方法:
- 根据PRISMA指南进行了系统审查和元分析.
- 搜索包括从1990年到2024年的主要数据库 (PubMed,Scopus,科学网,CENTRAL,CINAHL).
- 包括早产婴儿 (<37周妊娠期) 的随机对照试验 (RCT),将Fucile协议与对照进行比较,评估FOF过渡时间和住院时间等结果.
主要成果:
- 在Fucil协议显著减少过渡时间到FOF的平均5.77天.
- 住院时间也减少了平均6.47天.
- 这些发现得到了来自19项涉及1031名婴儿的试验中等确定性证据的支持.
结论:
- 福西尔协议有效地加速了养里程碑,并减少了早产婴儿住院的时间.
- 中等确定性证据支持其临床应用,尽管需要进一步的高质量试验.
- 将其整合到新生儿重症监护室 (NICU) 实践中可以提高养结果并优化婴儿护理.
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