间断俯卧体位对早产儿生长发育及睡眠质量的作用  

Effects of intermittent prone position on growth,development and sleep quality of premature infants

作　　者：史群芳 王玉[2] SHI Qunfang;WANG Yu(Graduate School,Hebei University,Baoding 071000,China;Department of Pediatrics,Affiliated Hospital of Hebei University,Baoding 071000,China)

机构地区：[1]河北大学研究生院,河北保定071000 [2]河北大学附属医院儿科,河北保定071000

出　　处：《医学研究与教育》2024年第3期25-30,共6页Medical Research and Education

基　　金：河北大学附属医院基金项目(2023QA02);河北大学医学学科培育项目(2023B05)。

摘　　要：目的 探究间断俯卧体位对早产儿生长发育及睡眠质量的作用。方法 选取2022年9月至2023年12月河北大学附属医院新生儿科收治的96例早产患儿作为研究对象,按随机数字表法分2组,每组48例。对照组采取常规仰卧体位,观察组采取间断俯卧体位,试验结束后,对比2组患儿睡眠状况评估指标、NANB神经行为测试评分、体格生长发育指标(体质量、身长、头围)以及患儿家长满意程度。结果 观察组早产儿睡眠质量高于对照组,差异有统计学意义(P<0.05);出生后30 d,观察组多项神经行为测试评分高于对照组早产儿,差异有统计学意义(P<0.05);出生后3个月,观察组早产儿各项体格生长发育指标优于对照组早产儿,差异有统计学意义(P<0.05);相比对照组,观察组患儿家长对此次干预效果满意程度高于对照组,差异有统计学意义(P<0.05)。结论 间断俯卧体位可提升早产患儿睡眠质量,增加睡眠时长,促进患儿体格生长、神经发育。Objective To investigate the effect of intermittent prone position on growth and sleep quality of premature infants.Methods A total of 96 premature babies admitted to the Neonatology Department of the Affiliated Hospital of Hebei University from September 2022 to December 2023 were selected as the study objects,and were included in the observation group(n=48)and the control group(n=48)according to random number table method.The control group took the conventional supine position,and the observation group took the intermittent prone position.After the end of the experiment,the sleep assessment indicators,NANB neurobehavioral test scores,physical growth and development indicators(body mass,length,head circumference)and satisfaction of parents of premature babies were compared between the two groups.Results The sleep quality of preterm infants in observation group was generally higher,and the difference was statistically significant(P<0.05).At 30 d after birth,the scores of multiple neurobehavioral tests in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).At 30 months after birth,the physical growth and development indexes of preterm infants in the observation group were significantly better than those in the control group,with statistical significance(P<0.05).Compared with the control group,parents of children in the observation group were more satisfied with the intervention effect,and the difference was statistically significant(P<0.05).Conclusion Intermittent prone position can greatly improve the sleep quality of premature children,increase sleep duration,and promote physical growth and neurological development of children.

关 键 词：间断俯卧体位 早产儿 生长发育 NANB神经行为测试评分 睡眠质量 仰卧体位 俯卧体位 

分 类 号：R72[医药卫生—儿科]