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首页> 外文期刊>The Journal of perinatal & neonatal nursing >Efficacy of semielevated side-lying positioning during bottle-feeding of very preterm infants: A pilot study
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Efficacy of semielevated side-lying positioning during bottle-feeding of very preterm infants: A pilot study

机译:半高位侧卧位在极早产婴儿奶瓶喂养期间的功效:一项初步研究

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摘要

Very preterm (VP, ≤30 wk gestational age) infants are at risk for impaired lung function, which significantly limits their ability to eat. A semielevated side-lying (ESL) position is a feeding strategy that may improve oral feeding by supporting breathing during feeding. The study evaluated the efficacy of the ESL position compared with the semielevated supine (ESU) position on physiological stability and feeding performance of bottle-fed VP infants. Using a within-subject crossover design, 6 VP infants were bottle-fed twice on 1 day, in both the ESL and ESU positions in a random order. Physiological stability (heart rate, oxygen saturation [SaO2], and respiratory characteristics) and feeding performance (percent intake, proficiency, efficiency, and duration of feeding) were measured before and/or during feeding. Very preterm infants fed in the ESL position demonstrated significantly less variation in heart rate, less severe and fewer decreases in heart rate, respiratory rate that was closer to the prefeeding state, shorter and more regular intervals between breaths, and briefer feeding-related apneic events. No significant differences for SaO2 or feeding performance were found. The findings indicate that the ESL position may support better regulation of breathing during feeding, thereby allowing VP infants to better maintain physiological stability throughout feeding.
机译:早产(VP,胎龄≤30 wk)的婴儿存在肺功能受损的风险,这大大限制了他们的进食能力。半高侧卧(ESL)位置是一种喂养策略,可以通过在喂养期间支持呼吸来改善口服喂养。这项研究评估了ESL位置与半高仰卧位(ESU)位置对瓶装VP婴儿的生理稳定性和喂养性能的功效。使用受试者内部交叉设计,在1天中以随机顺序在ESL和ESU位置对6名VP婴儿进行了两次瓶装喂养。在喂食前和/或喂食期间,测量其生理稳定性(心率,血氧饱和度[SaO2]和呼吸特性)和喂食性能(进食百分率,熟练程度,效率和喂食时间)。处于ESL位置的早产儿表现出明显的心率变化少,严重程度低,心率下降少,接近预喂养状态的呼吸频率,呼吸间隔更短和更规律,与喂养有关的呼吸暂停事件更短。未发现SaO2或进料性能有显着差异。研究结果表明,ESL的位置可能有助于在喂养期间更好地调节呼吸,从而使VP婴儿在整个喂养过程中都能更好地保持生理稳定性。

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