摘要
目的:研究母乳口腔护理在胃管喂养早产儿中的临床应用效果。方法:选取2018年1月-2019年12月到笔者所在医院治疗的60例经胃管喂养早产儿作为研究对象,采用数字盲选法将其分为A组(n=30)和B组(n=30)。A组采用生理盐水口腔护理,B组采用母乳口腔护理。比较两组口腔清洁度、致病微生物培养阳性率、喂养不耐受发生率、胃管留置时间、矫正胎龄37周体质量增长百分比。结果:B组口腔清洁度评分高于A组,差异有统计学意义(P<0.05)。B组致病微生物培养阳性率、喂养不耐受发生率均低于A组,差异有统计学意义(P<0.05)。B组胃管留置时间短于A组,差异有统计学意义(P<0.05)。B组矫正胎龄37周体质量增长百分比高于A组,差异有统计学意义(P<0.05)。结论:在胃管喂养早产儿中应用母乳口腔护理方式,能够保证患儿口腔清洁,降低致病微生物培养阳性率、喂养不耐受率,缩短胃管留置时间,促进患儿成长发育,值得临床推广应用。
Objective:To study the clinical effect of breast milk oral care in gastric tube feeding premature infants.Method:From January 2018 to December 2019,60 gastric tube feeding premature infants treated in our hospital were selected as the study object.They were divided into group A (n=30) and group B (n=30) by digital blind selection.Group A was given normal saline oral care,and group B was given breast milk oral care.The oral cleanliness,positive rate of pathogenic microorganism culture,incidence of feeding intolerance and gastric tube indwelling time and percentage increase of body quality at 37 weeks of corrected gestational age were compared between the two groups.Result:The oral cleanliness score of group B was higher than that of group A,and the difference was statistically significant (P<0.05).The positive rate of pathogenic microorganism culture and the incidence of feeding intolerance of group B were lower than those of group A,and the difference was statistically significant (P<0.05).The gastric tube indwelling time of group B was shorter than that of group A,and the difference was statistically significant (P<0.05).The percentage increase of body quality at 37 weeks of corrected gestational age in group B was higher than that in group A,and the difference was statistically significant (P<0.05).Conclusion:The application of breast milk oral care in gastric tube feeding premature infants can ensure the children’s oral cleanliness,reduce the positive rate of pathogenic microorganism culture and feeding intolerance rate,shorten the indwelling time of gastric tube,and promote the children’s growth and development,which is worthy of clinical promotion and application.
作者
缪芳媛
MIAO Fangyuan(Xiaogan Hospital Affiliated to Wuhan University of Science and Technology,Xiaogan 432000,China)
出处
《中外医学研究》
2020年第16期103-105,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
胃管喂养
早产儿
母乳口腔护理
生理盐水
Gastric tube feeding
Premature infants
Breast milk oral care
Saline
