触觉/运动刺激按摩对早产儿喂养效果、神经及运动发育的影响  

Effects of Tactile/Motor Stimulation Massage on Feeding Outcomes and Neuromotor Development in Preterm Infants

作　　者：马丽 杨兆郁 李军瑶 蒋佳慧 宁佳丽 马懿 MA Li;YANG Zhaoyu;LI Junyao;JIANG Jiahui;NING Jiali;MA Yi(School of Nursing,Yunnan University of Traditional Chinese Medicine,Kunming Yunnan 650504;Department of Pediatrics,The Third People’s Hospital of Yunnan Province,Kunming Yunnan 650011,China)

机构地区：[1]云南中医药大学护理学院,云南昆明650504 [2]云南省第三人民医院儿科,云南昆明650011

出　　处：《昆明医科大学学报》2025年第2期171-176,共6页Journal of Kunming Medical University

基　　金：云南中医药大学护理学院科创基金(YZHCK2304)。

摘　　要：目的观察触觉/运动刺激按摩对早产儿喂养效果、神经及运动发育水平的影响。方法选取云南省第三人民医院新生儿科重症监护病房2024年1月至2024年7月住院早产儿136例,利用随机数字表法分为对照组和试验组各68例。对照组接受早产儿常规护理方法,在常规早产儿护理方法的基础上,试验组采用触觉/运动刺激按摩的方法进行干预。比较两组住院早产儿管饲喂养转为经口喂养时间(d)、完全经口喂养率(%)、喂养不耐受发生率(%),体重(g)、身长(cm)、头围(cm),新生儿行为神经测定评分(NBNA),运动发育指数(PDI)。结果试验组管饲喂养转为经口喂养时间(12.73±1.86)d明显短于对照组(13.66±1.68)d,差异具有统计学意义(P<0.05),试验组完全经口喂养率(89.7%)明显大于对照组(70.6%),P<0.05,试验组喂养不耐受发生率(8.8%)明显小于对照组(16.2%),P<0.05;试验组体重、身长、头围优于对照组(P<0.05);试验组新生儿行为神经测定评分(36.16±1.53)分明显高于对照组(35.10±2.66)分(P<0.05);试验组运动发育指数(76.88±6.12)分明显高于对照组(74.34±5.07)分(P<0.05)。结论触觉/运动刺激按摩可有效改善早产儿喂养情况,促进早产儿的神经及运动发育水平。Objective To observe the effects of tactile/motor stimulation massage on feeding outcomes and neuromotor development levels of preterm infants.Methods A total of 136 preterm hospitalized infants in the neonatal intensive care unit of a tertiary hospital in Yunnan Province from January 2024 to July 2024 were enrolled and randomly assigned to a control group and an experimental group,with 68 cases in each group.The control group received the routine care for preterm infants,while the experimental group received tactile/motor stimulation massage as an intervention in addition to the routine care.The time taken from gavage to oral feeding(d),the rate of complete oral feeding(%),the incidence of feeding intolerance(%),the weight(g),the length(cm),the head circumference(cm),neonatal behavioral neurometric score(NBNA)and Psychomotor development index(PDI)were compared between the two groups.Results The time from gavage to oral feeding in the experimental group(12.73±1.86)days was significantly shorter than that in the control group(13.66±1.68)days,and the difference was statistically significant(P<0.05);the rate of complete oral feeding in the experimental group(89.7%)was significantly higher than that in the control group(70.6%),P<0.05,and the incidence of feeding intolerance in the experimental group(8.8%)was significantly lower than that in the control group(16.2%),P<0.05;The experimental group showed superior results in weight,length,and head circumference compared to the control group(P<0.05);The neonatal behavioral neurometry score of the experimental group(36.16±1.53)was significantly higher than that of the control group(35.10±2.66),P<0.05,and the motor development index in the experimental group(76.88±6.12)was significantly higher than that in the control group(74.34±5.07),P<0.05.Conclusion Tactile/motor stimulation massage can effectively improve the feeding status and promote the neuromotor development of preterm infants.

关 键 词：触觉/运动刺激 按摩疗法 早产儿 喂养效果 神经运动发育 

分 类 号：R473.72[医药卫生—护理学]