摘要
目的:分析母亲心音联合话音刺激与音乐疗法两种听觉刺激方式对NICU早产儿体格发育的影响。方法:选取符合纳入排除标准的早产儿90例,按随机化数字表分为对照组、音乐疗法组和母亲心音+话音刺激组,每组各30例。对照组行常规护理,音乐疗法组在常规护理的基础上播放音乐,母亲心音+话音刺激组在常规护理的基础上播放母亲心音联合话音的声音刺激,2次/d,持续14 d。比较3组早产儿在出生时、干预7 d和14 d的体格发育指标、体格生长速率、喂养奶量和恢复至出生体质量时间的情况。结果:3组早产儿干预前后身长、头围、上臂围各组间差异无统计学意义(P>0.05);出生时3组早产儿体质量间差异无统计学意义(P>0.05),干预7 d和14 d母亲心音+话音刺激组体质量显著高于音乐疗法组和对照组(P<0.05),音乐疗法组体质量显著高于对照组(P<0.05),母亲心音+话音刺激组早产儿体质量增长速率快于音乐疗法组和对照组(P<0.05),音乐疗法组体质量增长速率快于对照组(P<0.05);3组早产儿身长、头围、上臂围的增长速率差异无统计学意义(P>0.05);第1周日均喂养奶量为母亲心音+话音刺激组>音乐疗法组>对照组,3组间比较差异无统计学意义(P>0.05),第2周日均喂养奶量为母亲心音+话音刺激组>音乐疗法组>对照组,3组间比较差异有统计学意义(P<0.05);母亲心音+话音刺激组较音乐疗法组和对照组更快恢复至出生时体质量(P<0.05),且音乐疗法组时间短于对照组(P<0.05)。结论:母亲心音联合话音刺激与音乐疗法相比,能增加住院期间的喂养奶量,更快缩短早产儿恢复至出生体质量的时间,提高体质量增长速率,促进早产儿体格发育。
Objective:To investigate the effects of audio stimulation by maternal heart sound and voice verses music therapy on the overall physical development of premature infants in the Neonatal Intensive Care Unit(NICU).Methods:A total of 90 premature infants who met the inclusion and exclusion criteria were randomly and equally divided into three groups:control group(n=30),music therapy group(n=30)and maternal heart sound and voice stimulation group(n=30).Infants in the control group received routine neonatal care,and those in the music therapy group received music therapy in addition to routine care.Premature infants in the maternal heart sound and voice stimulation group received routine neonatal care,and they were also stimulated by the maternal heart sounds along with mother’s voice twice a day for a period of 14 days.At the 7 th and 14 th day of the intervention,the physical development index,physical growth rate,milk intake and the recovery time to the original birth weight were collected and compared among the three groups.Results:There were no significant differences in terms of infants’body length,head circumference and upper arm circumference among the three groups before and after intervention(P>0.05),and no significant difference was identified in terms of their weight at birth(P>0.05).After 7 and 14 days of intervention,the body weight of premature infants in the group with maternal heart sound and voice stimulation was significantly higher than that in the other two groups(P<0.05),and infants’weight in the music therapy group was significantly higher than that in the control group(P<0.05).The weight growth rate of premature infants in the maternal heart sound and voice stimulation group was also significantly greater than that in the other two groups(P<0.05),with the weight growth rate of infants in the music therapy group being greater than that in the control group(P<0.05).There were no significant differences in terms of the body length,head circumference and upper arm circumference growth rate among premature infants in the three groups(P>0.05).In addition,the average daily milk intake in the first week was no different among premature infants in three groups(P>0.05),however,the daily milk intake during the second week in infants with maternal heart sound and voice stimulation was significantly greater than that of the infants in the music therapy group and control group(P<0.05).Infants in the maternal heart sound and voice stimulation group recovered to birth weight significantly faster than those in the music therapy group and the control group(P<0.05),and with the recovery time in infants in the music therapy group being shorter than that of the control group(P<0.05).Conclusion:Compared with music therapy,maternal heart sound combined with voice stimulation can increase premature infants’milk intake during hospitalization,shorten the time needed to recover to their initial birth weight,and increase the weight growth rate,therefore promote overall physical development of premature infants.
作者
李倩
陈丽
涂素华
李雨昕
章容
付利珍
LI Qian;CHEN Li;TU Suhua;LI Yuxin;ZHANG Rong;FU Lizhen(Department of Neonatal Diagnosis and Treatment Center,Children's Hospital of Chongqing Medical University,National Clinical Research Center for Child Health and Disorders,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing Key Laboratory of Pediatrics,China International Science and Technology Cooperation Base of Child Development and Critical Disorders,Chongqing,400014,China)
出处
《中国护理管理》
CSCD
2021年第3期452-458,共7页
Chinese Nursing Management
基金
泸州市科技计划创新苗子项目(2018-RCM-67)。
关键词
早产儿
母亲声音刺激
音乐疗法
体格发育
premature infant
maternal sound stimulation
music therapy
physical development
