抚触干预对早产儿神经行为影响的临床观察  

Clinical observation of the effect of therapeutic touch intervention on neurobehavior in preterm infants

作　　者：张凤珍[1] 段红霞[1] 张军[1] 姚荣芬[1] 姜秉芬[1] 李青[1] 杨波[1] 

机构地区：[1]河北医科大学第四医院产科,石家庄050011

出　　处：《中国综合临床》2008年第7期659-660,共2页Clinical Medicine of China

基　　金：基金项且：河北省科技攻关计划项且（072761157）

摘　　要：目的探讨抚触对早产儿神经行为的影响。方法选择我院出生的早产儿60例，系孕周31—36周自然分娩或选择性剖宫产儿，随机分为抚触组和对照组各30例。在综合护理措施及育儿指导相同的情况下，抚触组增加抚触护理并随访半年。对两组早产儿在出生后1个月进行神经行为评分（NBNA）：3个月、6个月进行智能发育指数（MDI）和心理运动发育指数（PDI）测查及对比分析。结果抚触组在出生后1个月NBNA与对照组比较差异有统计学意义（P〈0．01）；3个月、6个月两组MDI和PDI测查差异亦有统计学意义（P〈0．05）。结论抚触对早产儿神经系统有良好作用。Objective To explore the effect of therapeutic touch （ massage） on the neurobehavior of preterm infants. Methods Sixty preterm infants （ gestational age in 31-36 weeks）, through natural delivery or caesarean section were randomly assigned to therapeutic touch group （ n = 30 ） and control group （ n = 30 ）. Both groups received routine pharmacotherapy and nursing care and followed up for half a year from discharge. Touch group received additional whole-body massage. All subjects were evaluated with neonatal behavioral neurological assessment （ NBNA） in one month after birth,and mental development index（ MDI）, psyehomotor development index（ PDI） in 3 months and 6 months after birth. Results The NBNA scores （ P 〈 0.01 ）, as well as MDI and PDI （P 〈 0.05 ） were significantly higher in therapeutic touch group than the control. Conclusion Therapeutic touch intervention im- proves nervous system of preterm infants.

关 键 词：早产儿 抚触 神经行为 

分 类 号：R722.6[医药卫生—儿科]