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Objective To investigate the intervention effect of oral motor training combined with pediatric tui-na on feeding intolerance in preterm infants to provide new treatment options and improve the quality of care. Methods • By using a nonsimultaneous controlled clinical trial method, 75 eligible preterm infants from the neonatal unit of a tertiary care hospital in Jinan were selected as the experimental group to implement oral training combined with pediatric massage therapy. Another 60 preterm infants admitted in 2020 were selected as the control group, who had already received oral motor training but had not received pediatric massage. The experimental group was treated for 7 d and the efficacy of the two groups was compared. Comparisons between the two groups included signs of feeding intolerance such as vomiting, gastric remnants and other outcome indicators such as first oral feeding time, gastric tube retention time, increased milk volume at day 3 and increased milk volume at day 7, feeding initiation time, increased weight at day 3 and increased weight at day 7, recovery time of birth weight, and days of hospitalization in both groups. Results • The differences in gender, age, birth weight, and Apgar score between the two groups before treatment were not statistically significant (P>0.05) indicating comparability. After treatment, preterm infants in the experimental group showed significant improvement in feeding performance, first oral feeding time, gastric tube retention time, increased milk volume at day 3 and increased milk volume at day 7, increased weight at day 3 and increased weight at day 7,hospitalization days and other observed indexes compared with the control group, and the differences were statistically significant (P<0.05). There was no significant difference in the feeding initiation time and recovery time of birth weight between the two groups (P>0.05). Conclusion • The combined application of oral motor training and pediatric tui-na is significantly more effective than single oral motor training in the short-term treatment of feeding intolerance in preterm infants. This combination therapy helps preterm infants to increase milk intake and accelerate weight gain, helps the children to recover intestinal function, establishes early nutritional support, promotes growth and development, and reduces the risk of long-term complications. This treatment is simple, safe and efficient, and has the value of popularization. [ABSTRACT FROM AUTHOR]

Copyright of Chinese Journal of Contemporary Pediatrics is the property of Xiangya Medical Periodical Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article reviews the latest research on the influencing factors and nursing interventions of feeding intolerance (FI) in preterm infants with non-invasive mechanical ventilation (NIV),and focuses on the current clinical specific nursing intervention methods for FI in preterm infants with NIV,so as to provide a reference for neonatal clinical nursing workers to prevent or care for FI in premature infants,shortening the duration of FI and realize complete oral feeding as early as possible. [ABSTRACT FROM AUTHOR]

Objective To discuss the effect factors of enteral nutrition feeding intolerance (FI)of the patients with severe acute pancreatitis (SAP）, and to construct and verify the risk prediction model. Methods The data of 246 SAP patients were collected and the patients were divided into tolerance group (n=143)and non-tolerance group (n=103)according to whether the enteral nutrition FI occurred.Age, intra-abdominal pressure, hypertriglyceridemia, hypoproteinemia, and other related data of the patients in two groups were compared, the predictive factors of FI were screened out by Logistic regression analysis,and the prediction model was constructed.The area under receiver operating characteristic (ROC)curve (AUC)and Hosmer-Lemeshow test were used to verify the prediction effect of the model. Ninety-two SAP patients were selected to verify the predictive effect of the model. Results A total of 6 predictors,such as hypertriglyceridemia (OR=1.962, 95%CI：1.088－3.538,P=0.025）,hypoproteinemia(OR=1.920, 95%CI：1.049－3.516,P=0.034）,acute physiological and chronic health status Ⅱ(APACHEⅡ）≥score 20 points (OR=3.118, 95%CI：1.720－5.653,P<0.01）,intra-abdominal pressure ≥12 mmHg (OR=2.826, 95%CI：1.534－5.205,P=0.001）,time to start enteral nutrition ≥72 h(OR=2.350,95%CI：1.179－4.683,P=0.015）, and addition of microecological agent (OR=0.379, 95%CI：0.209－0.685,P=0.001)were included. The formula of the model was Z=－1.206+0.674×hypertriglyceridemia+0.652×number of patients with hypoproteinemia+1.137×number of patients with APACHEⅡ score ≥20 points +1.039×number of patients with intra-abdominal pressure ≥12 mmHg+0.855×number of patients with time to start enteral nutrition ≥72 h－0.971×number of patients with　addition of microecological agent. The Hosmer-Lemeshow test results showed that χ2=5.985 and P=0.901, and the AUC of the prediction model was 0.793 (95%CI： 0.735－0.851, P<0.01）,the Yoden index was 0.498,the optimal critical value was 0.499, the sensitivity was 0.818, and the specificity was 0.680. The agent verification results of the model showed that the AUC was 0.880 (95%CI： 0.811－0.948,P<0.01）,the sensitivity was 0.774,the specificity was 0.867, and the accuracy rate was 81.52%. Conclusion The constructed risk prediction model of SAP enteral nutrition FI has high sensitivity and specificity, and good prediction efficiency. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Sichuan University (Medical Science Edition) is the property of Editorial Board of Journal of Sichuan University (Medical Sciences) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Feeding intolerance is a major cause of failure of enteral nutrition after esophageal cancer surgery, and dihedral and abdominal distension are common feeding intolerance-associated symptoms. This paper summarized the progress in the prevention and treatment of feeding intolerance in patients with enteral nutrition after esophageal cancer surgery. Methods of evaluating feeding intolerance, establishment of risk model, prevention and treatment of common symptoms, standard enteral nutrition were summered, in order to provide reference for improvement of enteral nutrition after esophageal cancer surgery. (喂养不耐受症状会影响食管癌术后患者肠内营养支持, 腹泻及腹胀是食管癌术后最常见的肠内营养喂养不耐受的症状。本文就腹泻及腹胀常见肠内营养喂养不耐受症状的防治进展进行总结, 包括肠内营养患者喂养不耐受的评价方法、构建风险模型、常见不耐受症状的防治措施、规范实施肠内营养等, 以期为临床提高食管癌术后肠内营养支持治疗的效果提供参考。)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To analyze the influencing factors of enteral nutrition feeding intolerance in patients with severe acute pancreatitis (SAP), and to explore the predictive value of intra-abdominal pressure on it. Methods: 80 patients with SAP who were treated in the ICU of Jiangsu Provincial People's Hospital from January 2018 to January 2021 were selected, and they were treated with enteral nutrition through three lumen nasojejunal tube, and the incidence of enteral nutrition intolerance was counted. The clinical data of all patients were collected, the influencing factors of enteral nutrition feeding intolerance in patients with SAP were analyzed by multivariate Logistic regression, and the predictive value of intra-abdominal pressure on enteral nutrition feeding intolerance in patients with SAP was analyzed by receiver operating characteristic (ROC) curve. Results: The incidence of enteral nutrition feeding intolerance in 80 patients with SAP was 53.75% (43/80). Multivariate Logistic regression analysis showed that age 逸60 years (OR=4.679, 95% CI: 1.549 ~ 23.078, P=0.026), the start time of enteral nutrition 逸 72 h (OR= 7.069, 95% CI: 1.700 ~ 29.395, P=0.007), and intra-abdominal pressure 逸15 mmHg (OR=4.495, 95% CI: 1.137 ~ 17.770, P=0.032) were the risk factors of enteral nutrition feeding intolerance in patients with SAP, while albumin 逸35 g/L (OR=0.264, 95% CI: 0.073 ~ 0.956, P=0.042) and added dietary fiber were (OR= 0.178, 95% CI: 0.048 ~ 0.662, P=0.010) were the protective factor of enteral nutrition feeding intolerance in patients with SAP. The ROC curve analysis showed that the area under the curve of intra-abdominal pressure predicting enteral nutrition feeding intolerance in patients with SAP was 0.809 (95% CI: 0.706 ~ 0.888), the sensitivity was 79.07%, and the specificity was 72.97%. Conclusion: Enteral nutrition feeding intolerance in patients with SAP is related to age, start time of enteral nutrition, intra-abdominal pressure, albumin level and whether to add dietary fiber. Intra-abdominal pressure has a certain predictive value for enteral nutrition feeding intolerance in patients with SAP. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Journal of Contemporary Pediatrics is the property of Xiangya Medical Periodical Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To observe the gut microbiota in meconium of extremely preterm infants with feeding intolerance (FI) and to analyze the microbial characteristics. Methods Twenty-four extremely premature infants’feces were collected at birth and were divided into two groups according to feeding tolerance(FT) or not: FT group (n=8) or FI group (n=16). The fecal microbiota was detected by high-throughput sequencing technology. Chao1 index and shannon index were measured, as well as the relative abundance of gut microbiota was observed. Results The chao 1 indices in the FI group and FT group were 1 538. 56±545. 72 and 1 052. 50±106. 86(P<0. 05). The Shannon indices of FI group and FT group were 7.06 ± 1.51 and 5.62 ± 1.37(P<0. 05). Compared with FT group, the relative abundances of Cyanobacteria, Acidobacteria, Verrucomicrobia, Chloroflexi, unidentified_Cyanobacteria (family)，unidentified_Cyanobacteria (genus)， Pseudomonas, Catellicoccus, unidentified_Lachnospiraceae, Massilia and Cellulomonas in the FI group increased, while that of Oceanobacter decreased (Z=-2. 572, -2. 267, -3. 307, -2. 664, -2. 572, -2. 572, -2. 205, -2. 233, -2. 347, -2. 728, -2. 770, and -2.053;all P<0. 05). Conclusion The diversity of gut microbiota in meconium of extremely premature infants with FI decreases, and Cyanobacteria, Cellulomonas, Pseudomonas, Massilia and other conditional pathogens are significantly enriched, which may be the cause of FI in extremely premature infants. [ABSTRACT FROM AUTHOR]

Copyright of Chinese Journal of Contemporary Pediatrics is the property of Xiangya Medical Periodical Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Journal of Contemporary Pediatrics is the property of Xiangya Medical Periodical Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective There are few studies regarding the predictive assessment of Feeding Intolerance (FI) during Early Enteral Nutrition (EEN) in patients with Severe Acute Pancreatitis (SAP) . This study was designed to screen for independent risk factors of FI from the commonly used scoring systems and routine laboratory testing results in SAP patients，aiming to guide early intervention and improve prognosis．Methods Of the 1177 SAP patients who were admitted to the Hanzhong 3201 Hospital affiliated to Xi’an Jiaotong University from January 2010 to October 2017，a total of 120 SAP patients，admitted to the ICU great than 72 hours and met the patient inclusion criteria，were enrolled in this study. The occurrence of FI was used as the main prognostic evaluation variable and those independent variables were evaluated for their predictive values．Results Singlef actor Logistic regression analysis demonstrated that APACHEⅡ score, SOFA score, BISAP score, EPIC score, CTSI score, BMI, blood glucose, and Lactic acid were all associated with occurrence of feeding intolerance in patients with severe acute pancreatitis(P<0.05)；Multivariate Logistic regression analysis demonstrated that APACHEⅡ score(OR: 1.436, 95%CI: 1.217-1.693, <0.001)，SOFA score(OR: 1.703，95%CI: 1.284-2.257， < 0.001)，BISAP score (OR: 8.467，95% CI: 2.936-24.412， < 0.001)，EPIC score(OR: 39.042，95%CI: 4.538-335.885， < 0.05)，CTSI score(OR: 2.843, 95%CI: 1.759-4.595， <0.001)，and BMI (in all of five scoring systems， < 0.001) were all independent risk factors for enteral nutrition and concurrent feeding intolerance in patents with severe acutepancreatitis. Conclusion The above five scores and BMI have predictive values for EEN process in SAP patients，which help to guide early intervention and improve the prognosis in SAP patients. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的 研究俯卧位联合抚触干预对早产低体重儿喂养不耐受及生长发育的影响。方法 选取该院2017年12月 至2019年12月收治的早产低体重儿80例作为研究对象,随机将患儿分为观察组和对照组,每组各40例。对照组采用常规护理 干预,观察组在常规护理干预的基础上采用俯卧位联合抚触干预。比较2组患儿的喂养情况、喂养不耐受症状消失时间、生长发 育情况、胃肠动力变化情况。结果 观察组患儿喂养不耐受持续时间、追赶至出生体重时间、足量胃肠喂养时间均短于对照组,差 异均有统计学意义(P<0.05)。观察组患儿呕吐消失时间、腹泻消失时间、胃潴留消失时间均短于对照组,差异均有统计学意义 (P<0.05)。干预前2组患儿体重、身长、头围比较差异均无统计学意义(P>0.05);干预后观察组患儿体重、身长、头围指标大于 对照组,差异均有统计学意义(P<0.05)。结论 行俯卧位及抚触干预有助于促进早产低体重儿的生长发育,改善喂养不耐受症 状及胃肠动力。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To compare the efficacy of domperidone and low-dose Erythromycin in the treatment of feeding intolerance in very low birth weight infant （VLBWI）Methods: A retrospective analysis was performed on 90 cases of VLBWI with feeding intolerance who admitted in our hospital from January 2011 to December 2013. According to the choice of therapy, the patients were divided into group A (domperidone group, n=42) and group B (low-dose erythromycin group, n=48). On the basis of comprehensive treatment the children of different groups were treated with different drugs as mentioned above the feeding intolerance symptoms.then the subside time of feeding intolerance symptoms, time to regain birth weight, the incidence of total parenteral feeding time, duration of hospitalization and incidence of side effects were observe and compared between two groups. Results: After treatment，all the children in both groups，achieved feeding intolerance symptoms, regained birth weight, total parenteral nutrition in the discharge standards. No statistically significant difference was found in the time of indicators mentioned above between two groups (P>0.05). No related adverse reactions was adversed in group A，while six cases of local pain caused by intravenous erythromycin was adversed in group B，the incidence rate was 12.5%, it was significantly higher than that of group A (P <0.05). Conclusion: Both domperidone and low-dose intravenous erythromycin could be effective and equal in the treatment of feeding intolerance in VLBWI. But domperidone might have higher security. [ABSTRACT FROM AUTHOR]