Non-Nutritive Suck Parameter in Preterm Infants with RDS.
Non-Nutritive Suck Parameter in Preterm Infants with RDS.
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DOI：
10.1016/j.jnn.2007.12.005
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发表时间：
2008-02-01
期刊：
影响因子：
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通讯作者：
Lee, Jaehoon
中科院分区：
文献类型：
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作者：
Estep, Meredith;Barlow, Steven M;Lee, Jaehoon
目的：描述三组早产儿（从正常到呼吸窘迫综合征（RDS）进行性程度）非营养性吸吮（NNS）参数的完整性。研究设计：在新生儿重症监护室，使用硅胶奶嘴对55名婴儿的NNS压迫波形进行采样，电子仪器测量管腔内压力。在两个不同的阶段测量七个选择的NNS参数，并使用协方差的一般线性模型分析进行统计学分析。结果和结论：有更广泛RDS和氧疗史的早产儿在7项NNS指标中的6项表现出显著（p≤0.001）下降。这一趋势在患有中度至重度RDS的早产儿中不成比例地放大。呼吸窘迫综合征需要氧疗的时间延长可能会导致不适应的口腔感觉体验，并限制口腔运动，这可能会导致NNS发展延迟。
OBJECTIVE: To characterize the integrity of non-nutritive suck (NNS) parameters among three groups of preterm infants ranging from normal to those with progressive degrees of respiratory distress syndrome (RDS). STUDY DESIGN: NNS compression waveforms were sampled from 55 infants in the neonatal intensive care unit using a silicone pacifier electronically instrumented for intraluminal pressure. Seven select NNS parameters were measured at two different sessions, and statistically analyzed using a General Linear Model Analysis of Covariance. RESULTS AND CONCLUSIONS: Preterm infants with a more extensive history of RDS and oxygen therapy manifest significantly (p≤0.001) degraded performance on six of the seven NNS measures. This trend was disproportionately amplified in preterm infants with moderate-to-severe RDS. Prolonged periods of RDS requiring oxygen therapy may cause maladaptive orosensory experiences, and restrict oral movements which may contribute to delayed NNS development.