480例新生儿游泳及抚触对体重影响比较探究.docVIP

480例新生儿游泳及抚触对体重影响比较探究 　 【摘要】 目的 探讨新生儿游泳和抚触对新生儿体重的影响。方法 将480例健康新生儿分为三组，游泳组213例，其中剖宫产139例，顺产74例；抚触组58例，其中剖宫产34例，顺产24例；对照组209例，其中剖宫产128例，顺产81例。每天记录出生体重，最低体得和出院体重。结果 三组之间无论剖宫产还是顺产，出院体重不存在显著差异（Pgt;0.05）。出院体重与最低体重差值比较，游泳组（151.8±103.63）g与抚触组（179.4±110.2）g均显著高于对照组（131.25±99.61）g（Plt;0.05），另外抚触组高于游泳组，但缺乏统计学意义（Pgt;0.05）。结论 新生儿游泳和抚触均能促进生理性体重下降的尽快恢复，而对出院体重无明显影响。新生儿游泳和抚触对发育的影响值得今后做进一步的比较研究。 【关键词】 新生儿 游泳 抚触 体重 【Abstract】 Objectives To study the effects of neonatal swimming (water therapy)and touching on body eight.Methods 480normal neonates are divided into three groups to observe their birth weight,the bottommost weight and the weight before discharging from hospital.Swimming group included 74 neonates delivered from vagina and 139 neonates delivered by cesarean section.Bathing group included 24 neonates delivered from vagina and 34 neonates delivered by cesarean section.The control group(simply bathing group)included 81 neonates delivered from vatina and 128 neonates delivered by cesarean section.Results There were no significant difference in birth weight,the bottommost weight and the weight before discharging from hospital among three groups(Pgt;0.05).However,the marging between the weight before discharging from hospital and the bottommost weight of the babies delivered by cesarean section were significantly higher in swimming(151.8±103.63) gram or bathing group(179.4±110.2)gram compared with the control group(131.25±99.61) gram （Plt;0.01）.Conclusion Neonatal swimming and touching can advance the weight recovery after the period of physiological weight drop,but might have no influence on the weight before discharging from hospital. 【Key words】 Neonate Swimming Touching Weight 近年来，随着专用游泳液、特制泳圈和防水护脐贴的应用，这一技术也开始推广到国内的诸多产科和新生儿科。然而有关新生儿游泳的效果，以及是否优于单纯抚触护理尚缺乏严谨的评价。本课题组近日对国内目前已经公开发表的有关新生儿游泳研究的文献作了检索和Meta数据循证分析，结果表明给予游泳的新生儿出院体重较单纯沐浴组儿童明显增长，即使是顺产住院仅4天也可出现明显增加[1]。推测造成报道中新生儿游泳使体重显著增加的原因之一可能与目前的发表偏奇有关，即具有关统计学显著性意义的研究结果比无显著性意义和无效的结果报告和发表的可能性更大；而更重要的可能是新生儿游泳操中的抚触成分对新生儿体重增加起了更主要的