■早产儿的口服喂养在全球范围内一直是一个具有挑战性的问题。为了提高早产儿口服喂养的有效性,开发了口腔运动干预(OMI)。当前的系统评价和荟萃分析研究旨在检查各种OMI技术对关键结果的影响,包括出院时的体重,实现独立口服喂养所需的持续时间,以及早产儿的住院时间。
■在各种数据库中对文献进行了系统的搜索,例如PubMed,Scopus,以及截至2023年9月28日的WebofScience和GoogleScholar。使用JoannaBriggs研究所(JBI)清单进行质量评估。使用随机效应模型计算总体效应度量,并以平均值的标准差(SDM)表示。伴随着标准误差和95%置信区间(CI)。我们使用I2统计量来调查研究之间的异质性。通过CMA软件(版本2)进行数据分析。
■最后,本评论中包含22篇文章。与对照组相比,预喂养口服刺激(PFOS)(SDM=7.91,95%CI:5.62,10.2,p=0.000,I2=86.31)和早产儿OMI(PIOMI)(SDM=3.71,95%CI:0.72,6.69,p=0.01,I2=96.64)对出院时体重的总体影响具有统计学意义。独立口服喂养的总体效果对于仅全氟辛烷磺酸是显著的(SDM=-0.64,95%CI:-1.1,-0.17,p=0.007,I2=75.45),与对照组相比,仅PIOMI(SDM=-1.48,95%CI:-2.49,-0.46,p=0.004,I2=93.73)和仅非营养性吸吮(NNS)(SDM=-0.53,95%CI:-0.76,-0.30,p=0.001,I2=0)组。NNS组(SDM=-0.45,95%CI:-0.67,-0.23,p=0.067,I2=0)和PIOMI组(SDM=-0.42,95%CI:-0.69,-0.15,p=0.002,I2=20.18)与对照组相比,住院时间的总体影响显着。
■在OMI中,PIOMI方法通常对出院时的体重增加表现出更有利的影响,实现独立口服喂养所需的持续时间,以及住院时间的长短。
UNASSIGNED: Oral feeding for preterm infants has been a challenging issue globally. In an effort to enhance the effectiveness of oral feeding in preterm infants, oral motor intervention (OMI) was developed. Present systematic
review and meta-analysis study aims to examine the impact of various OMI techniques on key outcomes, including body weight at the time of discharge, the duration required to achieve independent oral feeding, and the length of hospital stay for preterm infants.
UNASSIGNED: A systematic search of the literature was performed across various databases such as PubMed, Scopus, and Web of Science and Google Scholar up to September 28, 2023. Quality assessment was conducted using the Joanna Briggs Institute (JBI) checklist. The overall effect measure was calculated using a random-effects model and was presented as the standard difference of the mean (SDM), accompanied by the standard error and a 95% confidence interval (CI). We used I 2 statistic for investigating the heterogeneity between studies. Data analysis was performed by CMA software (Version 2).
UNASSIGNED: Finally, 22 articles included in this
review. The overall effect for body weight at discharge was found to be statistically significant in the prefeeding oral stimulation (PFOS) (SDM = 7.91, 95% CI: 5.62, 10.2, p = 0.000, I 2 = 86.31) and Premature Infant OMI (PIOMI) (SDM = 3.71, 95% CI: 0.72, 6.69, p = 0.01, I 2 = 96.64) groups versus control group. The overall effect of independent oral feeding was significant for PFOS-only (SDM = -0.64, 95% CI: -1.1, -0.17, p = 0.007, I 2 = 75.45), PIOMI only (SDM = -1.48, 95% CI: -2.49, -0.46, p = 0.004, I 2 = 93.73) and nonnutritive sucking (NNS) only (SDM = -0.53, 95% CI: -0.76, -0.30, p = 0.001, I 2 = 0) groups versus control groups. The overall effect of length of hospital stay was significant for NNS group (SDM = -0.45, 95% CI: -0.67, -0.23, p = 0.067, I 2 = 0) and PIOMI group (SDM = -0.42, 95% CI: -0.69, -0.15, p = 0.002, I 2 = 20.18) versus control group.
UNASSIGNED: Among OMIs, the PIOMI approach generally exhibited a more favorable impact on body weight gain at discharge, the duration required to achieve independent oral feeding, and the length of hospital stay.