| Abstract |
Objective To compare the effects of ultrasound-guided modified abdominal massage with conventional abdominal massage in the feeding of very low birth weight preterm infants. Methods A total of 90 preterm infants who met the inclusion criteria from January 1, 2022 to December 31, 2022 were randomly divided into ultrasound-guided modified abdominal massage group (referred to as ultrasound group) and conventional abdominal massage group, with 45 cases in each group. The meconium defecation time, feeding interruption frequency, cumulative fasting time, full gastrointestinal fee ding weight, incidence of feeding intolerance, weight at discharge, and total length of hospital stay were compared between the two groups. Results The average feeding interruption in the ultrasound group was (1.5±2.01) times, which was less than that in the conventional group (2.34±1.75) times (P=0.037<0.05), the average fasting time in the ultrasound group was (1.6±1.25) days, which was less than that in the conventional group (2.3±1.76) (P=0.031<0.05), the abdominal distension in the ultrasound group was 47.7% less than that in the conventional group (73.3% (P=0.013<0.05), and the meconium wasting time in the ultrasound group was (3.57±1.01) days, which was smaller than that in the conventional group (4.64±1.02), (P=0.000). <0.05) The total gastrointestinal weight of the ultrasound group was (1681.1±220.2) g was better than that of the conventional group (1584.6±184.9) g, (P=0.027<0.05), the discharge weight of the ultrasound group was (2377.0±356.3) g was greater than that of the conventional group (2204.0±289.1) g, (P=0.013<0.05) The average total hospital stay in the ultrasound group was (41.02±8.99) days, which was less than that of the conventional group (45.4±11.42) days, (P=0.037). <0.046) were statistically significant, but there was no significant difference in the incidence of NEC, vomiting and gastric storage between the two groups (all P>0.05). Conclusion Ultrasound-guided modified abdominal massage was better than conventional abdominal massage in improving meconium excretion, promoting feeding process, and promoting the growth and development of preterm infants, and did not increase the occurrence of complications.
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