母亲声音刺激对新生儿脑发育的影响  

Effects of mother sound stimulation on brain development among newborns

作　　者：于果[1] 钟以琳 蒙景雯[1] 周燕霞[1] 刘红霞[2] Yu Guo;Zhong Yilin;Meng Jingwen;Zhou Yanxia;Liu Hongxia(Department of Pediatrics, Peking University First Hospital, Beijing 100034, China;School of Nursing, Beijing University of Chinese Medicine, Beijing 100029, China)

机构地区：[1]北京大学第一医院儿科,北京100034 [2]北京中医药大学护理学院,北京100029

出　　处：《中华现代护理杂志》2019年第8期1015-1018,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨母亲声音刺激对于足月新生儿神经系统发育和脑功能活动的影响。方法选取2017年1—6月北京大学第一医院新生儿科住院的1~7 d的新生儿60名为研究对象。采用随机数字表法随机分为干预组和对照组各30名,对照组采用常规护理,干预组在常规护理的基础上每天给予2次母亲语音刺激,连续7 d。观察两组新生儿的脑血氧饱和度,并采用新生儿行为神经评分法(NBNA)评价新生儿神经系统发育情况。结果干预前两组新生儿氧合血红蛋白、还原血红蛋白、总血红蛋白水平、NBNA评分比较差异均无统计学意义(P>0.05);干预后干预组新生儿氧合血红蛋白、总血红蛋白水平、NBNA评分均高于对照组,差异均有统计学意义(P<0.05);干预后两组还原血红蛋白水平差异无统计学意义(P>0.05);干预组干预前后还原血红蛋白水平差异无统计学意义(P>0.05)。结论足月新生儿在母婴分离的情况下,每日对新生儿给予母亲语音刺激,可能增加新生儿脑组织代谢,促进其神经发育。Objective To explore the effects of mother sound stimulation on nervous system development and brain function development among full-term newborns. Methods From January to June 2017, we selected 60 newborns in Neonatology Department hospitalized for 1 to 7 days at Peking University First Hospital as subjects. All of the newborns were divided into intervention group and control group with the random number table, 30 cases in each group. Control group carried out routine nursing. On the basis of routine nursing, intervention group provided mother sound stimulation twice a day for 7 days. We observed the cerebral oxygen saturation and evaluated the nervous system development with the Neonatal Behavioral Neurological Assay (NBNA) among newborns between two groups. Results Before intervention, there were no statistical differences in oxyhemoglobin, reduced hemoglobin, total hemoglobin and the NBNA score of newborns between two groups (P>0.05). After intervention, the oxyhemoglobin, total hemoglobin and the NBNA score of intervention group were higher than those of control group with statistical difference (P<0.05). There was no statistical difference in the reduced hemoglobin between two groups after intervention (P>0.05), and no statistical difference in the reduced hemoglobin of intervention group before and after intervention (P>0.05). Conclusions Under the circumstance of maternal separation, the mother sound stimulation for newborns can increase brain tissue metabolism of newborn and promote their nervous development.

关 键 词：婴儿 新生 母亲 声音刺激 脑血氧饱和度 行为神经评分 

分 类 号：R473.72[医药卫生—护理学]