Effect of four approaches to oral feeding progression on clinical outcomes in preterm infants.
Effect of four approaches to oral feeding progression on clinical outcomes in preterm infants.
复制标题
口服喂养进展的四种方法对早产儿的临床结局的影响。
DOI：
10.1155/2015/716828
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发表时间：
2015
影响因子：
1.9
通讯作者：
Lewis M
中科院分区：
文献类型：
--
作者：
Pickler RH;Reyna BA;Wetzel PA;Lewis M
背景本项早产儿研究的目的是测试四种方法对从灌胃到完全经口喂养的过渡时间、出院时间和过渡期间体重增加的影响。方法.采用随机实验设计，分为4个干预组：早期开始（月经后32周）/缓慢进展经验（每天逐渐增加口服喂养）;早期开始/最大经验（每次喂养时提供口服喂养）;晚期开始（月经后34周）/缓慢进展经验;晚期开始/最大经验。结果该分析包括86名早产儿。一旦开始经口喂养，较晚开始/最大经验组的婴儿达到完全经口喂养，出院回家的时间明显早于任何一个较早开始组的婴儿。虽然没有显著差异，但这些婴儿也比晚开始/缓慢进展经验组的婴儿更早实现这些结果。各组间体重增加无差异。结论.结果表明，早产儿开始口服喂养可能会导致更快地过渡到完全口服喂养和出院，但不是在出生后早期。提供一个更一致的方法，口服喂养可能会支持婴儿的神经发育，并减少住院时间。
Background. The purpose of this study of preterm infants was to test the effect of four approaches to the time of transition from gavage to full oral feedings, time to discharge, and weight gain during the transition. Methods. A randomized experimental design was used with four intervention groups: early start (32 weeks' postmenstrual age)/slow progressing experience (gradually increasing oral feedings offered per day); early start/maximum experience (oral feedings offered at every feeding opportunity); late start (34 weeks' postmenstrual age)/slow progressing experience; and late start/maximum experience. Results. The analysis included 86 preterm infants. Once oral feedings were initiated, infants in the late start/maximum experience group achieved full oral feeding and were discharged to home significantly sooner than infants in either early start group. Although not significantly different, these infants also achieved these outcomes sooner than infants in the late start/slow progressing experience group. There were no differences in weight gain across groups. Conclusions. Results suggest starting oral feedings later in preterm infants may result in more rapid transition to full oral feedings and discharge although not at early postnatal ages. Provision of a more consistent approach to oral feeding may support infant neurodevelopment and reduce length of hospitalization.