游泳被动操训练对新生儿体质量影响的Meta分析  

Meta analysis of the effects of passive swimming exercise training on the body mass of neonates

作　　者：倪宏[1] 呼滨[2] 纪淑春 杨世萍[2] 林亦青[2] 王建宁[2] 傅书浩[2] 

机构地区：[1]北京大学第一医院儿科 [2]北京市第六医院妇产科 [3]北京市东城区妇幼保健院,北京市100083

出　　处：《中国临床康复》2005年第15期166-168,共3页Chinese Journal of Clinical Rehabilitation

基　　金：国家自然科学基金资助项目(30470555);中国博士后科研基金资助项目(2003034094);北京市东城区人才基金资助~~

摘　　要：目的:探讨游泳被动训练操对新生儿体质量的影响。方法:将2001-01/2004-12北京市第六医院产科出生的422例健康新生儿分为两组,游泳护理组213例,其中剖宫产139例,顺产74例;单纯沐浴组新生儿209例,其中剖宫产128例,顺产81例。游泳护理组进行正规的游泳被动操训练,沐浴组仅给予常规的沐浴处理。记录出生体质量,最低体质量和出院体质量。出院体质量采用多元协方差分析,以出生体质量、孕周、住院天数作为协变量。另外通过数据库检索1994-01/2005-01符合关键词(新生儿、游泳、水疗)的相关文献,剔除重复报告、信息少或数据不完整而无法利用的文献,对符合纳入条件的8篇采用Meta分析方法进行定性、定量综合分析,得出合并加权均数差和95%可信区间。结果:游泳护理组剖宫产和顺产出院体质量与沐浴组剖宫产和顺产出院体质量基本相似(3422.3±415.4)g,(3357.4±351.6)g,(3251.2±472.7)g、(3304.9±337.6)g,P>0.05。纳入研究的剖宫产资料6项,异质性检验χ2=18.58,P=0.002,合并效应量加权均数差采用固定效应模型,加权均数差的合并效应量为286.45,其95%可信区间为(246.91,326),合并效应量检验(Z=14.2,P<0.001)。纳入研究的顺产资料6项,其中一个研究的95%可信区间横线与无效竖线相交。异质性检验χ2=7.29,P=0.2。AIM:To study the influence of passive swimming exercise on neonatal body mass. METHODS:Totally 422 healthy neonates,who were born in the Department of Obstetrics of Beijing Sixth Hospital between January and December,were divided into swimming group(n=213,including 139 neonates delivered by cesarean section and 74 were spontaneous delivery) simply bathing group(n=209,including 128 neonates delivered by cesarean section and 81 were spontaneous delivery).Neonates in the swimming group received regular passive swimming exercise,and those in the bathing group only received routine bathing.The body mass at birth,the lowest body mass and body mass at discharge were recorded.The multiple analysis of covariance was used for body mass at discharge,body mass at birth,gestational weeks and length of stay were taken as covariates.Besides,relevant articles published from January 1994 to January 2005 were searched in database by using the keywords of“neonate, swimming, water therapy'.Repetitive reports and literatures that could not be used for studies with,less information or incomplete data were excluded.Meta analysis was used to qualitatively and quantitatively evaluate the data extracted from 8 papers that met the inclusion criteria,and then the combined weighted mean difference(WMD) and its 95 %confidence interval(CI) were calculated. RESULTS:There was no significant difference in the body mass at discharge of neonates delivered by cesarean section and those of spontaneous delivery between the swimming group[(3 422.3±415.4),(3 357.4±351.6)g] and bathing group[(3 251.2±472.7),(3 304.9±337.6) g] (P >0.05).There were 6 items in the data of cesarean section that involved in the study:χ2 =18.58,P=0.002 by heterogeneity analysis,WMD by fix effect model was 286.45(95%CI 246.91 to 326,Z=14.2,P< 0.001).The results of meta analysis of 6 clinical reports from neonates of spontaneous delivery was that χ2=7.29,P=0.2 by heterogeneity analysis. WMD by fix effect model was 239.34(95%CI 215.77 to 262.91,Z=19.9,P< 0.001). CONCL

关 键 词：META分析方法 临床随机对照研究 新生儿游泳 多元协方差分析 出生体质量 异质性检验 可信区间 加权均数 被动训练 健康新生儿 剖宫产 数据库检索 体质量增长 护理组 第六医院 低体质量 住院天数 综合分析 研究设计 动物实验 

分 类 号：R195.1[医药卫生—卫生统计学] R4[医药卫生—卫生事业管理]