母亲声音刺激联合白噪音干预对NICU新生儿疼痛及神经系统发育的影响分析  

Analysis of the effects of maternal sound stimulation combined with white noise interference on pain and nervous system development of neonates in NICU

作　　者：林朗刺 LIN Lang-ci(Department of Neonatology,Jinjiang Hospital(Fujian Hospital of Shanghai Sixth Hospital),Quanzhou 362200,China)

机构地区：[1]福建省晋江市医院(上海六院福建医院)新生儿科,362200

出　　处：《中国现代药物应用》2024年第10期58-60,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析母亲声音刺激联合白噪音干预对新生儿重症监护病房(NICU)新生儿疼痛及神经系统发育的影响。方法150例NICU新生儿,按照随机数字表法分为联合组(n=75,在对照组基础上接受母亲声音刺激联合白噪音干预)与对照组(n=75,接受常规围生期干预)。比较两组新生儿采集足跟血前后疼痛程度、心率以及0~1岁神经运动检查(INMA)异常率。结果两组新生儿采集足跟血操作前疼痛程度评分比较,差异无显著性(P>0.05)。联合组新生儿采集足跟血操作中及恢复期的疼痛程度评分分别为(6.01±1.12)、(3.21±0.65)分,均低于对照组的(7.65±1.21)、(4.51±0.81)分,差异有显著性(P<0.05)。两组新生儿足跟采血前、采血3 min的心率比较,差异无显著性(P>0.05)。联合组新生儿采血1 min的心率(151.23±13.51)次/min显著低于对照组的(165.23±10.56)次/min,差异有显著性(P<0.05)。随访后,两组新生儿1、2、3月龄的INMA异常率比较,差异无显著性(P>0.05)。联合组新生儿4、5月龄INMA异常率分别为16.00%、14.67%,均低于对照组的34.67%、33.33%,差异有显著性(P<0.05)。结论对NICU新生儿开展母亲声音刺激联合白噪音干预有助于缓解新生儿疼痛度,稳定其心率,且对其神经系统发育具有积极意义。Objective To analyze the effects of maternal sound stimulation combined with white noise interference on pain and nervous system development of neonates in neonatal intensive care unit(NICU).Methods 150 neonates in NICU were divided into a combined group(n=75,maternal sound stimulation combined with white noise interference based on the control group)and a control group(n=75,routine perinatal intervention)according to random number table method.Both groups were compared in terms of pain score,heart rate before heel blood collection,and abnormal rate of infant neurological motor assessment(INMA)in neonates at 0-1 years of age.Results There was no significant difference in pain scores between the two groups before heel blood collection(P>0.05).The pain scores during the heel blood collection and recovery period in the combined group were(6.01±1.12)and(3.21±0.65)points,which were lower than(7.65±1.21)and(4.51±0.81)points in the control group(P<0.05).There was no significant difference in heart rate before heel blood collection and 3 min after blood collection(P>0.05).The heart rate was(151.23±13.51)beats/min in the combined group 1 min after blood collection,which was significantly lower than(165.23±10.56)beats/min in the control group,and the difference was significant(P<0.05).After follow-up,there was no significant difference in the abnormal rate of INMA in neonates at 1,2 and 3 months of age between the two groups(P>0.05).The abnormal rates of INMA in neonates at 4 and 5 months of age in the combined group were 16.00%and 14.67%,which were lower than 34.67%and 33.33%in the control group,the difference was significant(P<0.05).Conclusion Maternal sound stimulation combined with white noise interference for neonates in NICU can help relieve pain and stabilize heart rate,and has positive significance for the development of the nervous system.

关 键 词：母亲声音刺激 白噪音 新生儿 重症监护室 疼痛度 神经系统发育 

分 类 号：R473.72[医药卫生—护理学]