抚触对早产儿生长发育影响.doc

抚触对早产儿生长发育影响[摘要] 目的：探讨抚触对早产儿生长发育的影响。方法：选择住院期间病情稳定后的早产儿70例，将其随机分为抚触组（40例）和对照组（30例），抚触组给予正规的抚触，于第42天评估两组体格（头围、身长及体重）增长幅度、摄入母乳量和睡眠时间，于纠正胎龄40周时进行20项新生儿行为神经测定，并作组间比较。结果：抚触组体格的增长、摄入量、睡眠时间及行为神经的发育明显优于对照组（P＜0.05）。结论：抚触对早产儿的生长发育有明显的促进作用。 [关键词] 早产儿；抚触；生长发育 [中图分类号] R473.72 [文献标识码] A [文章编号] 1673-7210（2011）12（b）-121-02 Influence of massage on growth and development of premature infants WU Guanghua Department of Nursing, Yanshan Hospital of Zibo City, Shandong Province, Zibo 255201, China [Abstract] Objective: To assess the influence of massage on the growth and development of premature infants. Methods: 70 premature infants who were considered medically stable were randomly divided into message group (n=40) and control group (n=30). The premature infants of massage group received routine massage. The premature infants in two groups were assessed in terms of physical growth (head circumference, length and weight), breast milk intakes and sleep time at the 42th postnatal day. They were assessed with twenty-item neonatal behavior neurologic assessment (NBNA) at 40 weeks of correcting gestational age. Comparison was done between the two groups. Results: Physical growth, breast milk, sleep time intakes and 20 developmental items in the massage group were significantly better than the control group (P＜0.05). Conclusion: Massage can obviously promote the growth and development of premature infants. [Key words] Premature infants; Massage; Growth and development 抚触是近年来兴起的一项婴儿健康护理技术，抚触可以把大量温和、良好的刺激通过皮肤感受器传导致被抚触者的中枢神经系统，从而引起良好的生理效应。国外报道，抚触可促进早产儿的体重增加、行为功能发育，提高免疫反应性，增进亲子间感情，提高幼儿的情商，使他们更好地适应社会[1-2]。为进一步探讨抚触对早产儿生长发育的影响，对我科收治的40例早产儿进行抚触，观察生长发育情况，现报道如下： 1 资料与方法 1.1 一般资料 选择2009年8月~2010年8月胎龄29～34周、无明显并发症的住院早产儿70例作为研究对象，随机分为两组。观察组40例，其中，男25例，女15例；胎龄（32.3±1.6）周；体重（1 630.6±310.5）g。对照组30例，其中，男18例，女12例；胎龄（32.7±1.8）周；体重（1 640.0±320.0）g。两组早产儿性别、胎龄和体重比较，差异无统计学意义（P＞0.05），具有可比性。 1.2 方法 两组早产儿均采用常规护理。此外抚触组早产儿于出生后2～3 d（据早产儿稳定情况定）开始抚触。在进乳1.5 h后，置于远红外线开放式保温台上，环境温度保持在24～28℃