改良抚触对婴儿早期生长发育影响的临床研究.doc

改良抚触对婴儿早期生长发育影响的临床研究 【关键词】 生长发育　【摘要】 目的 探讨改良抚触对促进婴儿早期生长发育的价值。 方法 随机选择两组足月正常新生儿，对照组（210例）以传统方法抚触，观察组（213例）以改良法抚触，比较两组身长、体重、头围、胸围、摄奶量、血红蛋白的变化;观察改变抚触部位顺序后的精神状态以及两组NBNA评分。 结果 两组在42天时测得的身长、体重、头围、胸围、摄奶量、血红蛋白数据，差异具有显著性（P0.05）;改良组改变抚触部位后的精神状态明显优于对照组，两组差异有显著性（P0.05）;改良组在出生后第1天、第5天、第7天NBNA总得分高于对照组（P0.05）。 结论 改良抚触在体重增长、精神状态及行为、神经发育方面明显优于传统抚触。因此，更能达到促进早期生长、强身壮体之功效，值得推广。 关键词 改良法 婴儿抚触 生长发育 Clinical efficacy of improvement touch in promoting the early growth and development of infants Ye Caixia，He Conghui，Zhu Lei Department of Pediatrics，Hospital of Chinese Peoples Armed Police Forces，Haikou570203. 【Abstract】 Objective To investigate the value of improvement touch in promoting the growth and develop-ment of infants.Methods Randomly selected two groups of normal term infants.The control group（n=210）was car-ried out using traditional touch，compared themwith the observation group（n=213）using improvement touch in terms of body length，body weight，head circumference，chest circumference，intake，and heamoglobin.The mental status and NBNA scores were also observed after changing the position of touch.Results There was a significant difference be-tween the control group and the observation group in respect to body length，body weight，head circumference，chest circumference，intake and heamoglobin（P0.05）.And observation group exhibit better mental status than the control group（P0.05）.The NBNA total scores of improvement group were higher than the control group on the postnatal first day，the fifth day and the seventh day（P0.05）.Conclusion Improvement touch group exhibits much better effects on the weight increase，mental status，behavior and neural development.Therefore improvement touch group can much more promote the early growth and development of infants and their enhancement of health.It is worth of general-ization. Key words improvement infant touch growth and development 近年来研究证实通过抚触对婴儿感官的温和刺激，有益于身心发育，我们对423例婴儿进行改良抚触研究，现将结果报告如下。 1 资料与方法 1.1 一般资料 2002年5月～2004年7月在我院出生的正常足月新生儿，排