文章摘要

口腔运动训练结合非营养性吸吮对婴儿吞咽功能障碍的干预效果

作者: 1宋霜, 1陈芳, 1符月花
1 海南省人民医院(海南医学院附属海南医院)儿科重症监护病区,海口 570311
通讯: 宋霜 Email: song11shuang@163.com
DOI: 10.3978/j.issn.2095-6959.2022.05.012

摘要

目的:探讨口腔运动训练结合非营养性吸吮对婴儿吞咽功能障碍的干预效果。方法:选取2020年1月至2021年5月海南省人民医院儿童重症监护病区(pediatric intensive care unit,PICU)收治的104例吞咽功能障碍婴儿,采用随机数字表法分成对照组与研究组,每组52例。对照组给予非营养性吸吮的常规干预,研究组开展口腔运动训练结合非营养性吸吮干预。观察两组婴儿吞咽功能障碍的恢复效果。结果:研究组吞咽功能障碍恢复时间、总住院时间明显短于对照组(均P<0.001)。干预3、7 d后,两组10 min内经口吮奶量均较干预前明显增加(均P<0.05),且研究组10 min内经口吮奶量亦显著高于对照组(P<0.001)。干预3、7 d后,两组吸吮熟练度均高于干预前(均P<0.001),且研究组吸吮熟练度高于对照组(P<0.001)。结论:吞咽功能障碍婴儿接受口腔运动训练结合非营养性吸吮的干预能明显提高其经口吮奶量和吸吮熟练度,缩短吞咽功能障碍恢复时间和总住院时间。
关键词: 婴儿;婴儿吞咽功能障碍;口腔运动训练;非营养性吸吮

Effect of oral exercise training combined with non-nutritive sucking on infant swallowing dysfunction

Authors: 1SONG Shuang, 1CHEN Fang, 1FU Yuehua
1 Pediatric Intensive Care Unit, Hainan Provincial People’s Hospital (Hainan Hospital Affiliated to Hainan Medical College), Haikou 570311, China

CorrespondingAuthor: SONG Shuang Email: song11shuang@163.com

DOI: 10.3978/j.issn.2095-6959.2022.05.012

Abstract

Objective: To explore the intervention effect of oral exercise training combined with non-nutritive sucking on infant swallowing dysfunction. Methods: From January 2020 to May 2021, 104 infants with swallowing dysfunction treated in the Pediatric Intensive Care Unit (PICU) of Hainan Provincial People’s Hospital were enrolled and randomly divided into a control group and a study group by random number table method, with 52 cases in each group. The control group was given routine intervention of non-nutritive sucking and the study group carried out oral exercise training combined with non-nutritive sucking intervention. The recovery effect of dysphagia in infants of the 2 groups was observed. Results: The recovery time of dysphagia and the total hospital stay in the study group were significantly shorter than those in the control group (both P<0.001). After 3 and 7 days of intervention, the amount of milk sucked by mouth in 10 min was significantly higher than that before intervention in both groups (both P<0.001). The amount of milk sucked by mouth in 10 min in the study group was also significantly higher than that in the control group (P<0.001). After 3 and 7 days of intervention, the sucking proficiency of the 2 groups was higher than that before intervention (both P<0.001), and the sucking proficiency of the study group was higher than that of the control group (P<0.01). Conclusion: The intervention of oral exercise training combined with non-nutritional sucking for infants with swallowing dysfunction can significantly improve the amount of milk sucked through the mouth and the proficiency of sucking, and shorten the recovery time of swallowing disorder and the total length of hospital stay.
Keywords: infant; infant swallowing dysfunction; oral exercise training; non-nutritive sucking

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