袋鼠式干预对NICU早产儿行为神经发育与睡眠的影响  

Effect of Kangaroo Mother Care on Neurobehavioral Development and Sleep of Premature Infants in NICU

作　　者：李玲玲 王培芬 林宝英 赖秋香 LI Lingling;WANG Peifen;LIN Baoying;LAI Qiuxiang(Jinjiang Hospital/Fujian Hospital of Shanghai Sixth People′s Hospital,Jinjiang 362200,China;Department of Pediatrics,Quanzhou First Hospital,Quanzhou 362000,China)

机构地区：[1]晋江市医院/上海市第六人民医院福建医院,晋江362200 [2]泉州市第一医院,泉州362000

出　　处：《世界睡眠医学杂志》2024年第3期578-580,584,共4页World Journal of Sleep Medicine

摘　　要：目的:分析母亲实施袋鼠式干预(KMC)对新生儿重症监护室(NICU)早产儿行为神经发育与睡眠状态的影响。方法:选取2023年3至2023年11月晋江市医院收治的NICU早产儿50例作为研究对象,随机分为观察组与对照组,每组25例。2组均接受常规治疗,观察组同步接受KMC,1次/d。比较2组治疗前后新生儿神经行为测定(NBNA)评分与睡眠情况。结果:相对于对照组,观察组在第14天NBNA行为能力评分、被动肌张力评分、主动肌张力评分与总分较高(P<0.05)。观察组第3天时夜间睡眠时间长于对照组,总睡眠时间也显著较长(P<0.05);第7天时夜间睡眠时间、日间睡眠时间及总睡眠时间长于对照组(P<0.05)。结论:KMC可改善NICU早产儿睡眠情况,促进行为神经发育,具备较高的应用价值。Objective:To analyze the impact of kangaroo mother care(KMC)on the neurobehavioral development and sleep status of premature infants in the neonatal intensive care unit(NICU).Methods:Fifty premature infants admitted to the NICU of our hospital were enrolled and randomly divided into a study group(n=12)and a control group(n=12).Both groups received routine treatment,and the study group received KMC simultaneously once a day.The neonatal neurobehavioral assessment(NBNA)score and sleep status before and after treatment between two groups were compared.Results:The study group had a higher NBNA behavioral ability score,passive muscle tone score,active muscle tone score,and total score at 14 d than the control group(P<0.05).The study group had longer nighttime sleep time and total sleep time at 3 d(P<0.05);the nighttime sleep time,daytime sleep time,and total sleep time of the study group at 7 d were longer than those of the control group(P<0.05).Conclusion:KMC can improve the sleep status of premature infants in NICU and promote neurobehavioral development,which has high application value.

关 键 词：新生儿重症监护室 早产儿 袋鼠式干预 行为神经发育 睡眠 

分 类 号：R473.72[医药卫生—护理学]