A study of the effects of ultrasound-guided modified abdominal massage and conventional abdominal massage in the feeding of very low birth weight preterm infants
超声引导下改良式腹部按摩和常规腹部按摩在极低出生体重早产儿喂养效果的研究

摘要

目的 比较在超声引导下改良式腹部按摩与常规腹部按摩在极低出生体重早产儿喂养的效果差异。方法 选取2022年1月1日至2022年12月31日的符合纳排标准的早产儿90例，采用随机分组原则，分为超声引导下改良式腹部按摩组以（简称超声组）及常规腹部按摩组，每组45例。对比两组早产儿的胎便排净的时间、喂养中断频次、禁食累计时间、达到全胃肠喂养体重、喂养不耐受的发生率，出院时体重、总的住院时间等。结果 超声组喂养中断平均（1.5±2.01）次，少于常规组平均（2.34±1.75）次（P=0.037<0.05），超声组禁食时间平均（1.6±1.25）天，少于常规组（2.3±1.76）（P=0.031<0.05），超声组发生腹胀47.7%少于常规组73.3%（P=0.013<0.05），超声组胎便排出时间（3.57±1.01）天，小于常规组（4.64±1.02），（P=0.000<0.05）超声组达全胃肠体重（1681.1±220.2）g优于常规组（1584.6±184.9）g，（P=0.027<0.05）超声组出院体重（2377.0±356.3）g大于常规组（2204.0±289.1）g，（P=0.013<0.05）超声组总住院时间平均（41.02±8.99）天，少于常规组(45.4±11.42)天，（P=0.037<0.046）差异均有统计学意义，而在发生NEC、呕吐、胃储留等发生率，两组早产儿差异无统计学意义（均P＞0.05）结论 超声引导下改良式腹部按摩在改善早产儿胎便排出促进喂养进程促进早产儿生长发育作用方面效果优于常规腹部按摩，并且不增加并发症的发生。

Abstract

Objective To compare the effects of ultrasound-guided modified abdominal massage with conventional abdominal massage in the feeding of very low birth weight preterm infants.
Methods A total of 90 preterm infants who met the inclusion criteria from January 1, 2022 to December 31, 2022 were randomly divided into ultrasound-guided modified abdominal massage group (referred to as ultrasound group) and conventional abdominal massage group, with 45 cases in each group. The meconium defecation time, feeding interruption frequency, cumulative fasting time, full gastrointestinal fee ding weight, incidence of feeding intolerance, weight at discharge, and total length of hospital stay were compared between the two groups.
Results The average feeding interruption in the ultrasound group was (1.5±2.01) times, which was less than that in the conventional group (2.34±1.75) times (P=0.037<0.05), the average fasting time in the ultrasound group was (1.6±1.25) days, which was less than that in the conventional group (2.3±1.76) (P=0.031<0.05), the abdominal distension in the ultrasound group was 47.7% less than that in the conventional group (73.3% (P=0.013<0.05), and the meconium wasting time in the ultrasound group was (3.57±1.01) days, which was smaller than that in the conventional group (4.64±1.02), (P=0.000). <0.05) The total gastrointestinal weight of the ultrasound group was (1681.1±220.2) g was better than that of the conventional group (1584.6±184.9) g, (P=0.027<0.05), the discharge weight of the ultrasound group was (2377.0±356.3) g was greater than that of the conventional group (2204.0±289.1) g, (P=0.013<0.05) The average total hospital stay in the ultrasound group was (41.02±8.99) days, which was less than that of the conventional group (45.4±11.42) days, (P=0.037). <0.046) were statistically significant, but there was no significant difference in the incidence of NEC, vomiting and gastric storage between the two groups (all P>0.05).
Conclusion   Ultrasound-guided modified abdominal massage was better than conventional abdominal massage in improving meconium excretion, promoting feeding process, and promoting the growth and development of preterm infants, and did not increase the occurrence of complications.