穴位按摩对新生儿缺氧缺血性脑病病儿生长发育和睡眠的影响

Effects of meridian touch intervention on growth and sleep in neonates with hypoxic ischemic encephalopathy

目的探究穴位按摩应用于新生儿缺氧缺血性脑病病儿中对生长发育及睡眠的影响。方法选取2016年4月至2017年4月无锡市儿童医院收治的给予常规干预的新生儿缺氧缺血性脑病病儿47例作为对照组,给予病儿吸氧,酸中毒纠正及控制脑水肿抗惊厥等措施,同时采用国内改良简易按摩法,对病儿头、腹、手腕及踝足等部位进行揉按。另选取2017年5月至2018年5月无锡市儿童医院收治的给予穴位按摩的新生儿缺氧缺血性脑病病儿47例作为观察组;在对照组基础上给予穴位按摩,按背部-臀部-四肢-头面部-胸腹部顺序进行按摩。两组干预时间均为1个月。对比两组前后病儿生长发育、睡眠质量及新生儿行为神经测定情况。结果观察组1个月后体质量、身高及摄入奶量分别为(5043.72±425.36)g、(56.37±2.54)cm,(605.67±43.81)mL,均优于对照组,差异有统计学意义(P<0.05);观察组1个月后入睡时间、睡眠时间、睡眠效率、睡眠紊乱、睡眠质量、辅助药物及日间功能障碍评分分别为(3.25±1.65)分、(0.69±0.52)分、(3.26±1.46)分、(7.58±1.68)分、(0.64±0.49)分、(1.15±0.95)分、(3.25±0.26)分,均低于对照组,差异有统计学意义(P<0.05);观察组7 d后、护理1个月后新生儿行为神经评分分别为(28.06±1.94)分和(37.76±2.83)分,均高于对照组,差异有统计学意义(P<0.05)。结论穴位按摩应用于新生儿缺氧缺血性脑病病儿中能有效促进病儿生长发育,提高其睡眠质量,改善其行为神经,值得推广。

Objective To explore the effects of meridian massage intervention on growth and sleep in neonates with hypoxic⁃isch⁃emic encephalopathy.Methods A total of 47 neonates with hypoxic⁃ischemic encephalopathy treated with routine intervention from April 2016 to April 2017 in Wuxi Children’s Hospital were selected as control group,which was given oxygen,acidosis correction,cerebral edema control and anti⁃convulsion.At the same time,patients in the control group were massaged on the head,abdomen,wrist,ankle foot and other parts of the patient with simple and improved massage method.Another 47 neonates with hypoxic⁃isch⁃emic encephalopathy who received acupoint massage in Wuxi Children’s Hospital from May 2017 to May 2018 were selected as ob⁃servation group.On the basis of the control group,acupoint massage was given according to the order of back,buttocks,limbs,head,face,chest and abdomen.The growth and development,sleep quality and neonatal behavioral neurological status were compared be⁃tween the two groups.Results The body weight,height and milk intake of the observation group were(5043.72±425.36)g,(56.37±2.54)cm,(605.67±43.81)mL,respectively,which were better than those of the control group.The difference was statistically signif⁃icant(P<0.05);sleep latency,sleeping time,sleep efficiency,sleep disturbance,sleep quality,adjuvant drugs and daytime dysfunc⁃tion scores in the observation group were(3.25±1.65),(0.69±0.52),(3.26±1.46),(7.58±1.68),(0.64±0.49),(1.15±0.95)and(3.25±0.26),respectively,which were lower than those of the control group,with statistically significant difference(P<0.05).After 7 days in the observation group and 1 month after nursing,the neonatal behavioral neurological scores were(28.06±1.94)and(37.76±2.83),respectively,which were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Meridian and collateral massage intervention in neonatal hypoxic⁃ischemic encephalopathy can effectively pro⁃mote the growth and development of children,improve their sleep quality and behavioral nerves,which is worthy of promotion.