摘要
目的:探讨抚触早期干预对新生儿缺氧缺血性脑病(HIE)康复的影响。方法:将60例足月中重度缺氧缺血性脑病患儿随机分为两组:抚触组30例和对照组30例。对照组行常规药物治疗和护理,观察组在对照组治疗和护理的基础上按正规国际抚触标准进行全身抚触,2次/d,15min/次,连续2个月。分别于基线(出生当日)、干预后第3,7,14,28和60d对两组被试进行神经行为(NBNA)评分。结果:与基线相比,两组治疗第3、7、14、28和60天NBNA评分均明显升高(P<0.001);治疗第3天抚触组与对照组的NBNA评分差异无显著性(P>0.05),治疗第7、14、28和60天,抚触组NBNA评分均高于对照组(P<0.001);抚触组治疗第28天的行为能力和主动肌张力评分与基线和第3天比较,均有显著性差异(P<0.05);对照组治疗第3、28天的行为能力和主动肌张力评分与基线比较,均有显著性差异(P<0.05)。结论:早期抚触干预在HIE治疗中具有一定的辅助作用,能促进HIE新生儿神经行为康复。
Objective： To explore the effect of therapeutic touch（massage）on the neurobehavioral rehabilitation of newborns with hypoxic-ischemic encephalopathy（HIE）. Methods： Sixty newborns with moderate to severe HIE were randomly assigned to therapeutic touch group（n= 30）and control group （n= 30）. Both groups received routine pharmacotherapy and nursing care, and the touch group received additional whole-body massage twice per day for 2 months. All subjects were evaluated with neonatal behavioral neurological assessment （NBNA） scale at baseline（the day of birth）,day 3,7, 14,28,and 60 after intervention. Results： The NBNA scores were significantly greater at day 3,7, 14,28, and 60 than those of baseline in both groups （P 〈 0. 001 ）. In both groups,the NBNA score increased（P〈0.05）except that the NBNA scores were not significantly different between on day 14 and day 28,and day 28 and day 60 in the touch group. There was significant difference of NBNA scores between the groups on day 7,14,28 and 60 （P〈0. 001）. Conclusion：Therapeutic touch may be effective to improve the rehabilitation of neurological and behavioral develooment of newborns with HIE.
出处
《实用临床医学（江西）》
CAS
2005年第9期96-98,共3页
Practical Clinical Medicine
关键词
按摩
触摸
治疗性
缺氧缺血性脑病
新生儿
massage
touch, therapeutic
infant, newborn
hypoxia-ischemic, brain
