Respiratory pattern intervention can quickly improve the oral feeding of pre-term infants with suck-swallow-breath coordination disorder
10.3760/cma.j.issn.0254-1424.2021.06.003
- VernacularTitle:呼吸模式干预对吸吮-吞咽-呼吸协调障碍早产儿经口喂养表现的影响
- Author:
Shuang WANG
1
;
Zhiwen HE
;
Ya PEI
;
Fucheng CAI
;
Zhenzhen LIU
;
Aina ZHOU
;
Zhaohui YANG
Author Information
1. 华中科技大学同济医学院附属协和医院康复医学科，武汉 430022
- Keywords:
Pre-term infants;
Oral feeding;
Sucking;
Swallowing;
Breathing
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2021;43(6):494-498
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of a breathing pattern intervention (RPI) on the oral feeding of pre-term infants with suck-swallow-breath (SSwB) coordination disorder.Methods:Sixty pre-term infants with SSwB coordination disorder were divided into an observation group ( n=30) and a control group ( n=30) using a random number table. Both groups were given routine feeding training, including oral exercise intervention, non-nutritive sucking training, and swallowing induction training during nursing, while the observation group was additionally provided with 15 minutes of breathing pattern training once a day, including breathing pattern observation, resistive breathing training prior to eating and passive breathing pattern intervention during eating. Before and after the 7-day intervention, the Pre-term Infant Oral Feeding Readiness Assessment (PIOFRA) was used to evaluate each subject′s oral feeding ability. Rate of transfer (RT), proficiency (PRO), minimum oxygen partial pressure (SaO 2) and SaO 2 fluctuations were also recorded during the feeding process. Results:After 1 week of the intervention, significant improvement was observed in both groups. In the observation group the average RT (2.76±0.36ml/min), PRO, minimum SaO 2, the number of SaO 2 fluctuations, and PIOFRA score (33.28±0.58) were all significantly better than the control group′s averages. Conclusion:Breathing pattern intervention based on routine feeding training can enhance breathing coordination during swallowing and ultimately improve the oral feeding of pre-term infants with SSwB coordination disorders in a relatively short period of time.
