神经发育支持模式对早产儿生长发育及睡眠质量影响的研究  

Effect of neurodevelopmental support care on sleep quality and growth development of premature infants

作　　者：廖伟[1] 赵聪敏[1] 温恩懿[1] 张雨平[1] 王丽雁[1] 何周梅[1] 杨望[1] 吕奎林[1] 

机构地区：[1]第三军医大学新桥医院儿科,重庆400037

出　　处：《重庆医学》2010年第21期2908-2910,共3页Chongqing medicine

摘　　要：目的探讨在新生儿重症监护室(NICU)实行神经发育支持模式对早产儿生长发育及睡眠质量的影响。方法将75例早产儿随机抽样分为观察组(36例)和对照组(39例)。观察组在传统方法护理基础上予以神经发育支持模式,对照组采用传统方法护理。两组患儿在出、入院及纠正年龄4月龄时均测定头围、身长及体质量;在住院7、14、21 d测量睡眠时间,在纠正年龄4月龄时用简明婴幼儿睡眠问卷(BISQ)对两组患儿进行睡眠质量调查。结果观察组在出院时体质量增加较对照组体质量增加,差异有统计学意义(P<0.01);在纠正4月龄时体质量、头围及身长均显著高于对照组。观察组住院第14、21天睡眠时间均显著长于对照组(P<0.01);观察组在纠正4月龄时夜间觉醒时间、夜间觉醒次数、夜间睡眠持续时间、夜间睡眠总量、白天睡眠总量及睡眠总量与对照组比较差异有统计学意义(P<0.01)。结论在NICU对早产儿实行神经发育支持疗法可促进生长发育及睡眠质量,值得提倡。Objective To explore the effect of neurodevelopmental support care on the growth and neuropsychological development of premature infants.Methods A total of 75 premature infants were randomly divide into observation group（36 cases） and control group（39 cases）.The observation group was treated with traditional nursing and neurodevelopmental support care;the control group was treated with traditional nursing.The growth velocity of weight,head circumference and height were performed at hospital admission,discharge and at the correct age of 4 months old.Comparing the two groups of sleep time at 7,14 d and 21 d in hospital admission and the BISQ sleep parameter in the correct age of 4 monthes.Results The average increase weight and the sleep time of the observation group were higher than those of the control group in hospital（P〈0.01）.When at the correct age of 4 months old,the weight,head circumference,length,number of night-time awakening,night time awakening,night sleep duration,total amount of sleep at night,sleep during the day and the total amount of sleep in observation group were significant difference from those of the control group（P〈0.01）.Conclusion Neurodevelopmental support care is good for the growth and sleep quality of premature infants.

关 键 词：早产儿 神经发育支持模式 生长发育 睡眠质量 

分 类 号：R473.72[医药卫生—护理学]