The Effects of "Oral Administration of Breast Milk Droplets" and "Palatal Stimulation with a Finger" Methods on Feed Tolerance in Preterm Newborns Fed via an Orogastric Tube: Randomized Controlled Trial.
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引用次数: 0
Abstract
Background: Infants should be provided with effective feeding skills with evidence-based care practices to ensure nutritional tolerance and maximize the growth and development in preterm infants.
Aim: This study aimed to examine the effects of "oral administration of breast milk droplets" and "palatal stimulation with a finger" methods on feed tolerance in preterm newborns fed via an orogastric tube.
Methods: This randomized controlled trial was conducted in the neonatal intensive care unit of a private hospital. The study included 90 premature newborns born at the 28th-36th gestational weeks and admitted to intensive care. We applied breast milk droplets inside the oral cavity of newborns (30) in one of the intervention groups and stimulated the palate of newborns (30) by using a finger in the other. We performed these interventions every 3 hours for 5 minutes at the feeding times of the newborns for 7 days. Babies in the control group were not applied any intervention. We used SPSS (Statistical Package for Social Sciences) 22.0 for Windows software for statistical analyses.
Results: The number of defecations, frequencies of residuals, body weight, and abdominal circumference were significantly different between the groups (P < 0.05). The increments in body weight and reductions in abdominal circumference were significantly different between the groups in the study (P < 0.05).
Conclusion: Palatal stimulation with a finger acted on feed tolerance more favorably than the oral administration of breast milk droplets or no intervention in preterm infants fed via OGT. We suggest primarily that palatal stimulation with a finger and secondarily the oral administration of breast milk droplets as the two methods to be employed to overcome feeding intolerance, which is a significant problem in premature infants.
背景：应向婴儿提供有效的喂养技巧和循证护理实践，以确保营养耐受性并最大限度地促进早产儿的生长发育。目的：探讨“口服奶滴”和“手指刺激腭部”两种喂养方式对经口胃管喂养的早产儿饲料耐受性的影响。方法：在某私立医院新生儿重症监护病房进行随机对照试验。该研究包括90名在妊娠28 -36周出生并接受重症监护的早产儿。我们在一个干预组将母乳滴入新生儿（30）的口腔内，并在另一个干预组用手指刺激新生儿（30）的上颚。我们在新生儿喂养时间每3小时进行5分钟干预，持续7天。对照组的婴儿不进行任何干预。我们使用SPSS (Statistical Package for Social Sciences) 22.0 for Windows软件进行统计分析。结果：两组大鼠排便次数、残馀次数、体重、腹围差异有统计学意义（P < 0.05）。体重的增加和腹围的减小在两组间有显著性差异（P < 0.05）。结论：对经OGT喂养的早产儿，手指刺激腭部比口服乳滴或不干预更能改善其对食物的耐受。我们建议首先用手指刺激腭部，其次口服乳滴作为克服喂养不耐受的两种方法，这是早产儿的一个重要问题。
期刊介绍：
The Nigerian Journal of Clinical Practice is a Monthly peer-reviewed international journal published by the Medical and Dental Consultants’ Association of Nigeria. The journal’s full text is available online at www.njcponline.com. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal makes a token charge for submission, processing and publication of manuscripts including color reproduction of photographs.
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