Effect of Zusanli acupoint massage combined with maternal sound stimulation on feeding of premature infants in NICU
足三里穴位推拿联合母亲声音刺激对NICU早产儿喂养的影响

摘要

目的 探讨足三里穴位推拿联合母亲声音刺激对NICU早产儿喂养的影响。方法 共纳入119名符合条件的早产儿，根据随机数字表法进行分组。分为对照组、足三里穴位推拿组、母亲声音刺激组、联合干预组（足三里穴位推拿联合母亲声音刺激）。对照组接受常规护理，其他三组在常规护理基础上分别接受足三里穴位推拿、母亲声音播放、足三里穴位推拿+母亲声音刺激，2次/d,持续7d。比较4组早产儿的喂养效率、喂养不耐受和不良反应发生率的情况。结果 干预 7 d 后，联合组患儿经口摄入量比其他3组患儿多，达全量经口喂养过渡时间均比其他3组患儿短（P＜0.05），4组患儿经口摄入所需时间对比差异无统计学意义（P＞0.05）。结论 对NICU早产儿开展足三里穴位推拿联合母亲声音刺激的干预措施能够有效提升早产儿的喂养效率，对早产儿的整体护理和发育具有显著的积极作用。

Abstract

Objective To investigate the effects of Zusanli acupoint massage combined with mother's voice stimulation on the feeding of premature infants in NICU.
Methods A total of 119 eligible preterm infants were enrolled and grouped according to random number table method. Divided into control group, Zusanli acupoint massage group, mother's voice stimulation group, combined intervention group (Zusanli acupoint massage combined with mother's voice stimulation). The control group received routine care, and the other three groups received Zusanli acupoint massage, mother's voice playing, Zusanli acupoint massage + mother's voice stimulation on the basis of routine care, twice/day for 7 days. The feeding efficiency, feeding intolerance and the incidence of adverse reactions were compared in 4 groups.
Results After 7 days of intervention, the oral intake of children in the combined group was higher than that in the other 3 groups, and the transition time to full oral feeding was shorter than that in the other 3 groups (P < 0.05). There was no statistical significance in the time required for oral intake among the 4 groups (P > 0.05).
Conclusion   The intervention measures of Zusanli acupoint massage combined with mother's voice stimulation for NICU premature infants can effectively improve the feeding efficiency of premature infants, and has a significant positive effect on the overall nursing and development of premature infants.