Abstract：【Objective】 To explore the application effect of early swallowing function training combined with non nutritive sucking in premature infants with difficulty in oral feeding.【Methods】 A total of 92 premature infants with oral feeding difficulties admitted to our hospital from November 2019 to December 2020 were randomly divided into a control group and an observation group, with 46 cases in each group. The control group received non nutritional sucking intervention, while the observation group received early swallowing function rehabilitation training intervention in combination with the control group. Before and 10 days after intervention, the growth and development indicators, gastrointestinal function recovery, and incidence of complications were compared between the two groups of children. 【Results】 After intervention, the weight, length, and head circumference of the two groups of patients were higher than before intervention, and the observation group was higher than the control group, with statistical significance (P<0.05). The observation group had shorter retention time of nasogastric tube, recovery time of body mass, and time to achieve total intestinal nutrition compared to the control group, and the increase in milk intake was higher than that of the control group, with statistical significance (P<0.05). The incidence of complications in the observation group was 2.17%(1/46), lower than the control group's 15.22%(7/46), and the difference was statistically significant (χ2=4.929, P<0.05).【Conclusion】 Implementing non nutritive suction combined with early swallowing function rehabilitation training for premature infants with difficulty in oral feeding can promote the growth and development of premature infants and the recovery of gastrointestinal function, reduce the incidence of complications, and is worthy of clinical reference.
霍静宇, 可莉君, 王琪. 早期吞咽功能训练结合非营养性吸吮在经口喂养困难早产儿中的应用效果[J]. 医学临床研究, 2024, 41(1): 102-105.
HUO Jingyu, KE Lijun, WANG Qi. The Application Effect of Early Swallowing Function Training Combined with Non Nutritive Sucking in Premature Infants with Difficulty in Oral Feeding. JOURNAL OF CLINICAL RESEARCH, 2024, 41(1): 102-105.
[1] 苏丹,刘亚楠,蒋玉娜.不同喂养方式对早产儿生长发育、生长激素释放肽及细胞免疫水平的影响[J].中国妇幼保健,2019,34(8):1778-1781.
[2] 杨秀芳,柳国胜,陈玉兰,等.胃肠外营养相关性胆汁淤积症早产儿血MDR3基因mRNA表达[J].中国当代儿科杂志,2019,21(2):125-130.
[3] 李媛媛,赵旭,历广招,等.应用初乳对早产儿进行口腔护理干预效果的系统评价[J].中华护理杂志,2019,54(5):753-759.
[4] 国家卫生健康委员会临床检验中心新生儿遗传代谢病筛查室间质量评价委员会.早产儿低体重儿及患病儿遗传代谢病筛查共识[J].中国实用儿科杂志,2020,35(3):180-184.
[5] LORDIER L, MESKALDJI D E, GROUILLER F,et al. Music in premature infants enhances high-level cognitive brain networks[J].Proc Natl Acad Sci USA,2019,116(24):12103-12108.
[6] 王燕,崔慧敏,李胜玲,等.综合口腔运动干预对早产儿喂养表现及临床结局的影响[J].中华护理杂志,2019,54(3):363-368.
[7] ÖZALKAYA E, TOPCUOGLU S, KARATEPE H, et al. Efficacy of levetiracetam in premature infants: our experience and review of the literature[J].J Matern Fetal Neonatal Med,2019,32(24):4093-4096.
[8] 吴静,谢云朋,俞君,等.喂养困难早产儿口腔运动干预次数的影响因素研究[J].中国妇幼保健,2020,35(18):3407-3409.
[9] 李莉,易慧,李文芳.集束-延续护理模式在早产儿护理管理中的应用研究[J].中国社会医学杂志,2020,37(1):109-112.
[10] MCGOWAN E C, VOHR B R. Neurodevelopmental follow-up of preterm infants: What is new?[J].Pediatr Clin North Am,2019,66(2):509-523.
[11] 朱晓芸,何敏斯,陆春梅,等.口腔运动干预对喂养困难早产儿进食能力的改善及影响因素研究[J].中国儿童保健杂志,2019,27(2):142-145.
[12] 梁天梅,唐卓润,周丽华.非营养性吸吮联合母亲声音刺激应用于早产儿喂养中的效果分析[J].中西医结合护理(中英文),2020,6(12):89-91.
[13] NAGEL E, HICKEY M, TEIGEN L, et al. Clinical application of body composition methods in premature infants[J].JPEN J Parenter Enteral Nutr,2020,44(5):785-795.
2024, Vol. 41 
