一项随机对照试验:母乳气味对早产新生儿喂养线索、向口服喂养过渡时间和腹腔灌注的影响。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-01-01 Epub Date: 2023-09-08 DOI:10.1177/10998004231200784
Adalet Yücel, Sibel Küçükoğlu, Hanifi Soylu
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引用次数: 0

摘要

目的:探讨母乳气味刺激对早产儿肠内喂养前后的喂养提示、转口喂养时间和腹腔灌流的影响。设计:本研究为平行组前-后试验随机对照试验(RCT)。方法:研究在 rkiye新生儿重症监护病房(NICU)进行。研究数据收集于2020年10月至2021年12月期间的32名早产新生儿。新生儿被随机分为干预组(n = 16)和对照组(n = 16)。干预组(IG)新生儿在肠内喂养前和喂养期间进行气味刺激,为期3天。采用新生儿信息表、腹腔灌注随访表和喂养线索随访表收集数据。分析采用Yates校正和Fisher卡方检验、Mann-Whitney U检验、Cohen Kappa统计、Permanova分析和Wilcoxon检验。该研究已在ClinicalTrials.gov注册(NCT04843293)。结果:接触BM气味的新生儿的喂养提示频率高于对照组(CG) (p . 0.05)。IG期和CG期新生儿向口服喂养过渡的时间相似(p > 0.05)。IG组新生儿腹腔灌注水平高于CG组(p . 0.05),且组*时间交互作用差异显著(p . 0.05)。结论:BM气味刺激有助于改善早产儿的消化功能。
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The Effect of Breast Milk Odor on Feeding Cues, Transition Time to Oral Feeding, and Abdominal Perfusion in Premature Newborns: A Randomised Controlled Trial.

Purpose: The present study was conducted to determine the effect of odor stimulation with breast milk (BM) applied to premature newborns before and during enteral feeding on feeding cues, transition time to oral feeding and abdominal perfusion.

Design: This study was a parallel group pretest-post test randomised controlled trial (RCT).

Methods: The study was conducted in the neonatal intensive care unit (NICU) in Türkiye. Study data were collected from 32 premature newborns between October 2020 and December 2021. Newborns were randomly assigned to either intervention (n = 16) or control (n = 16) groups. Odor stimulation with BM was applied to newborns in the intervention group (IG) before and during enteral feeding for 3 days. Data were collected with the Newborn Information Form, Abdominal Perfusion Follow-up Form, and Feeding Cues Follow-up Form. Yates corrected and Fisher chi-squared test, Mann-Whitney U test, Cohen Kappa statistics, Permanova analysis, and Wilcoxon test were used in the analysis. The study was registered in ClinicalTrials.gov (NCT04843293).

Results: The frequency of feeding cues in newborns who were exposed to the odor of BM, was higher than in the control group (CG) (p < .05). The transition times to oral feeding were similar in newborns in the IG and CG (p > .05). Abdominal perfusion level of newborns in the IG was higher than the CG (p < .05), and the level of abdominal perfusion showed a significant difference in terms of group*time interaction (p < .05).

Conclusion: Our findings suggest that odor stimulation with BM will be beneficial in improving the digestive functions of premature newborns.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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