Oral stimulation combined with non-nutritional sucking to improve feeding in preterm infants: a meta-analysis
10.3760/cma.j.issn.2096-2932.2022.03.015
- VernacularTitle:口腔刺激联合非营养吸吮改善早产儿喂养的Meta分析
- Author:
Junzuo LIU
1
;
Ying ZHANG
;
Dan LIU
;
Yunxia MA
;
Rongxiu ZHENG
Author Information
1. 天津医科大学总医院儿内科，天津 300052
- Keywords:
Oral stimulation;
Non-nutritional sucking;
Infant,premature;
Meta-analysis
- From:Chinese Journal of Neonatology
2022;37(3):258-264
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the effects of oral stimulation combined with non-nutritional sucking on premature infants feeding.Methods:From the establishment of the databases to December 14, 2020, PubMed, Embase, Cochrane Library and SinoMed, CNKI, Wanfang databases were searched for randomized controlled trials (RCT) on oral stimulation combined with non-nutritive sucking in preterm infants. The gestational age (GA) of the infants was 26~37 w.The control group received routine nursing or sham treatment and the intervention group received oral stimulation and non-nutritional sucking on the basis of routine nursing. The intervention strategy included infant oral motor intervention and oral sensorimotor intervention. The literature were reviewed and the quality of RCTs evaluated. RevMan 5.3 software was used for meta-analysis.Results:A total of 20 RCTs were included, including 1 316 premature infants (GA 26~36 w). Compared with the control group, the intervention group had significantly shorter duration of hospital stay ( WMD=-3.45, 95% CI -4.41~-2.50, P<0.001). Significant differences existed in the corrected GA of discharge ( WMD=-0.68, 95% CI -1.10~-0.26, P=0.001), the age of total oral feeding(TOF) ( WMD=-5.22, 95% CI -9.04~-1.40, P=0.007), corrected GA of TOF ( WMD=-1.02, 95% CI -1.40~-0.64, P<0.001) and the body weight on TOF day ( WMD=-59.75, 95% CI -114.55~-4.95, P=0.030). Conclusions:Oral stimulation combined with non-nutritive sucking can accelerate TOF and shorten hospital stay in premature infants. The procedure should be standardized and promoted as routine and standard care for premature infants.
