抚触和洗澡对新生儿缺氧缺血性脑病患儿生长发育的影响  

Effect of massage and bathing on the growth and development of neonates with neonatal hypoxic-ischemic encephalopathy

作　　者：李国曦[1] 方雪娟[1] 仝海霞[1] 张俊[1] 

机构地区：[1]第四军医大学唐都医院,陕西西安710038

出　　处：《齐鲁护理杂志（上旬刊）》2011年第12期13-14,共2页Journal of Qilu Nursing

摘　　要：目的:探讨抚触和洗澡对新生儿缺氧缺血性脑病(HIE)患儿生长发育的影响。方法:将80例HIE患儿随机分为抚触组和对照组各40例,两组患儿均采用人工喂养并给予综合治疗方案,对照组实施常规护理,观察组在此基础上增加抚触和洗澡,比较两组患儿各项生长指标及神经行为评分。结果:观察组摄奶量、体重、神经行为评分与对照组同日龄患儿比较差异有统计学意义(P<0.05,P<0.01),睡眠时间、胎粪排尽时间、恢复出生体重时间均优于对照组(P<0.05)。结论:在常规护理的基础上增加抚触和洗澡对HIE患儿神经及体格发育有明显的促进作用,值得临床推广。Objective ： To explore the effect of massage and bathing on the growth and development of neonates with neonatal hypoxic - ischemic encephalopathy. Methods ： 80 neonates with neonatal hypoxic - ischemic encephalopathy were randomly divided into massage and control groups （40 neonates in each group ）. The neonates in both groups were given artificial feeding and comprehensive treatment. The neonates in the control group received routine nursing care and the neonates in the massage group were given extra massage and bathing based on the routine, and then the growth parameters and neurobehavioral score were compared between the two groups. Results： There were statistically significant differences in the comparison of milk intake, body weight and neurobehavioral score in the neonates at the same age of days between the two groups （P 〈0. 05 ,P 〈0.01） ; sleep time, drained time of meconium and recovery time of birth weight were superior in the massage group to the control group （P 〈 0. 05）. Conclusion： The extra massage and bathing based on routine nursing care plays a great role in promoting neurodevelopment and physical development of the neonates with neonatal hypoxic - ischemic encephalopathy.

关 键 词：抚触 洗澡 新生儿缺氧缺血性脑病 

分 类 号：R473.72[医药卫生—护理学]