新生儿游泳和抚触对早产儿的影响

Effects of neonatal swimming and touching on preterm infants

目的探讨新生儿游泳和抚触对早产儿出生1周内生长发育的影响。方法收集出生时Apgar评分≥8分,住院期间无需特殊治疗的早产儿[平均胎龄为(35+4±3+3)周]54例,随机分为治疗组(游泳和抚触组)、对照组(单纯沐浴组)各27例,对其相同时间段的体重增长,胎便排出及黄疸情况进行观察对比,同时选择性比较8项新生儿行为神经发育指标。结果治疗组每日胎便次数增多,量多,胎便转黄时间提前,观察第七天末梢血总胆红素值低于对照组,观察出生1周时治疗组行为神经发育评分优于对照组。结论新生儿游泳和抚触疗法可作为早产儿的早期干预措施,促进其生长发育,值得临床推广。

Objective To investigate the influence of neonatal swimming and touching on the growth and development of preterm infants. Methods 54 preterm infants with Apgar score 1〉8 were divided into treatment group （27 cases, swimming and touching） and control group （27 cases, bath）. The body weight, defecation, jaundice and 8 selective developmental indexes based on neonatal behavior and neurological assessment were observed. Results The recovery of body weight was faster than that of the control group. The blood bilirubin of treatment group at the seventh day after birth was lower than that of control group （ P 〈 0. 05 ）. The neonatal neurobehavioral development score of the treatment group is better than that of the control group （ P 〈 0. 05 ）. Conclusion The neonatal swimming and touching can be an early intervention measure to facilitate the growth and development of preterm infants.