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鸟巢式护理联合音乐疗法对早产儿体格发育和神经发育的影响

萌宠菠菠乐园
2025-02-08 03:45

：https：／／kns．cnki．net／kcms／detail／５１．１７０５．R．２０２１０３１１．１７２２．０１７．htmldoi：１０.３９６９／j.issn.１６７４-２２５７.２０２１.０４.０２５·· ，，，△（４５００５２）【】。２０１９１２０２０１１１２，，５６，、、、（NBNA）。，，，，NBNA，（＜０.０５）。，。【】；；；【】 R７２２【】 A△：，E-mail：zdwfyhxx＠１２６．com＇，，，△．，４５００５２，【】 To explore the effect of bird＇s nest type nursing combined with music therapy on thegrowth and development of premature infants． A total of１１２premature infants hospitalized in theNeonatal Department of the Fifth Affiliated Hospital of Zhengzhou University from January２０１９to January２０２０were included and divided into control group（＝５６）and experimental group（＝５６）according to random numbertable method．Daily sleep time，time of first suckling，daily weight gain，neonatal behavioral neurologicalassessment（NBNA）of infants werecompared between the two groups． Compared with thecontrol group，the premature infants in the experimental group had longer daily sleep time，earlier time of first suckling，fasterdaily weight gain，and higher NBNA on the expected day of birth，and the differences were statistically significant（＜０.０５）． Bird＇s nest type nursing combined with music therapy is beneficial to promote the earlygrowth and development of premature infants，promote the development of neural system and improve theprognosis．【】 Premature infant；Bird＇s nest type nursing；Music therapy；Growth and development ＜３７，，、、、。，，，。，、、，，。［１-２］。、、，［３-５］，，。，。［６］。［７］，，·０２５·２０２１１６４ Journal of Chengdu Medical College，２０２１，Vol．１６，No．４　　　www.taodocs.com　　　　　　　：https：／／kns．cnki．net／kcms／detail／５１．１７０５．R．２０２１０３１１．１７２２．０１７．htmldoi：１０.３９６９／j.issn.１６７４-２２５７.２０２１.０４.０２５·· ，，，△（４５００５２）【】。２０１９１２０２０１１１２，，５６，、、、（NBNA）。，，，，NBNA，（＜０.０５）。，。【】；；；【】 R７２２【】 A△：，E-mail：zdwfyhxx＠１２６．com＇，，，△．，４５００５２，【】 To explore the effect of bird＇s nest type nursing combined with music therapy on thegrowth and development of premature infants． A total of１１２premature infants hospitalized in theNeonatal Department of the Fifth Affiliated Hospital of Zhengzhou University from January２０１９to January２０２０were included and divided into control group（＝５６）and experimental group（＝５６）according to random numbertable method．Daily sleep time，time of first suckling，daily weight gain，neonatal behavioral neurologicalassessment（NBNA）of infants werecompared between the two groups． Compared with thecontrol group，the premature infants in the experimental group had longer daily sleep time，earlier time of first suckling，fasterdaily weight gain，and higher NBNA on the expected day of birth，and the differences were statistically significant（＜０.０５）． Bird＇s nest type nursing combined with music therapy is beneficial to promote the earlygrowth and development of premature infants，promote the development of neural system and improve theprognosis．【】 Premature infant；Bird＇s nest type nursing；Music therapy；Growth and development ＜３７，，、、、。，，，。，、、，，。［１-２］。、、，［３-５］，，。，。［６］。［７］，，·０２５·２０２１１６４ Journal of Chengdu Medical College，２０２１，Vol．１６，No．４　　　www.taodocs.com　　　　　　　

，，。，。［８］，，，，。［９-１０］，，，，。，。．２０１９１２０２０１１１２。：＜３７；；。：、；、、，；。，５６。，。，。．。，：（neonatal intensive care unit，NICU），，，，，。，３／d，１５min／，３：９∶００－９∶１５、１３∶００－１３∶１５、１９∶００－１９∶１５，，《》，４０～５０，３０cm［１１］。．、、。（neonatalbehavioralneurologicalassessment，NBNA）。NBNA，２０，６、４、４、３３。４０，＞３６，３５～３６，＜３５［１２］。。． SPSS１３.０。χ２，（-±），；（２５，７５），。α０.０５。．、、、，（＞０.０５），（１）。（-±，＝）（／）／d（／）／kg２６／３０２４１　．２５ ± ９．２８２２／３４　２#．５５ ± ０．３７３２／２４２４３　．７５ ± ８．７９２７／２９　２#．５３ ± ０．３１χ２／１s．２８７－１6．４６３０K．９０７０　．２４５０s．２５７０6．１４６０K．３４１０　．８０７．，（＜０.０５）。，（＜０.０５）。，（＜０.０５）。NBNA，（＜０.０５）（２）。［-±，（，），＝］／h／d／（g／d）NBNA／１６�．９１ ± １．３３１#．２５（０．５，２．０）１６W．６２ ± １．７３３５C．００ ± １．６８１７�．５１ ± １．１４０#．５０（０．５，１．０）１７W．５９ ± １．９０３５C．６８ ± １．７６／－２　．５６７－３　．４７７－２　．８１７－２　．０８５０　．０１２０　．００１０　．００６０　．０３９，，。［１３］，·１２５·２０２１１６４ Journal of Chengdu Medical College，２０２１，Vol．１６，No．４　　　www.taodocs.com　　　　　　　，，。，。［８］，，，，。［９-１０］，，，，。，。．２０１９１２０２０１１１２。：＜３７；；。：、；、、，；。，５６。，。，。．。，：（neonatal intensive care unit，NICU），，，，，。，３／d，１５min／，３：９∶００－９∶１５、１３∶００－１３∶１５、１９∶００－１９∶１５，，《》，４０～５０，３０cm［１１］。．、、。（neonatalbehavioralneurologicalassessment，NBNA）。NBNA，２０，６、４、４、３３。４０，＞３６，３５～３６，＜３５［１２］。。． SPSS１３.０。χ２，（-±），；（２５，７５），。α０.０５。．、、、，（＞０.０５），（１）。（-±，＝）（／）／d（／）／kg２６／３０２４１　．２５ ± ９．２８２２／３４　２#．５５ ± ０．３７３２／２４２４３　．７５ ± ８．７９２７／２９　２#．５３ ± ０．３１χ２／１s．２８７－１6．４６３０K．９０７０　．２４５０s．２５７０6．１４６０K．３４１０　．８０７．，（＜０.０５）。，（＜０.０５）。，（＜０.０５）。NBNA，（＜０.０５）（２）。［-±，（，），＝］／h／d／（g／d）NBNA／１６�．９１ ± １．３３１#．２５（０．５，２．０）１６W．６２ ± １．７３３５C．００ ± １．６８１７�．５１ ± １．１４０#．５０（０．５，１．０）１７W．５９ ± １．９０３５C．６８ ± １．７６／－２　．５６７－３　．４７７－２　．８１７－２　．０８５０　．０１２０　．００１０　．００６０　．０３９，，。［１３］，·１２５·２０２１１６４ Journal of Chengdu Medical College，２０２１，Vol．１６，No．４　　　www.taodocs.com　　　　　　　

，，、，，；、、。，，，。β-，，５-，，［１４］。，。２４，，＞３２。，。，，，，［１５-１６］。［１７］，，，，，。、、、，、、。４０～６０；，［１８］。［１９］，，，，。《》，，，，NBNA，。，，；，NBNA。［１］Natarajan G，Shankaran S．Short-andlong-term outcomes ofmoderate and late preterm infants［J］．Am J Perinatol，２０１６，３３（３）：３０５-３１７．［２］．［J］．，２０１９，５４（３）：２３３-２３５，２２８．［３］Frey H A，Klebanoff M A．The epidemiology，etiology，andcosts of preterm birth［J］．Semin Fetal Neonatal Med，２０１６，２１（２）：６８-７３．［４］Mericq V，Martinez-Aguayo A，Uauy R，．Long-termmetabolic risk among children born premature or small forgestational age［J］．Nat Rev Endocrinol，２０１７，１３（１）：５０-６２．［５］．［J］．，２０１９，２７（２）：１１９-１２２．［６］．［J］．，２０２０，２７（１）：１４２-１４４．［７］，．［J］．，２０１８，３３（１）：１８-２１．［８］．［J］．，２０１５（１６）：２１７７-２１７９．［９］Palazzi A，NunesC C，Piccinini C A．Music therapy andmusical stimulation in the context of prematurity：a narrativeliterature review from２０１０-２０１５［J］．J Clin Nurs，２０１８，２７（１／２）：e１-e２０．［１０］Haslbeck F，Stegemann T．The effect of music therapy oninfants born preterm［J］．Dev Med Child Neurol，２０１８，６０（３）：２１７．［１１］，．［J］．（），２０１５，１７（４）：５９-６１．［１２］．［J］．，２００３，１７（６）：４４１-４４３．［１３］vander Heijden M J，Oliai Araghi S，Jeekel J，．Dohospitalized premature infants benefit from musicinterventions？A systematic review of randomized controlledtrials［J］．PLoS One，２０１６，１１（９）：e０１６１８４８．［１４］，，．［J］．，２０１６（１７）：１３２，１３４．［１５］Caparros-Gonzalez RA，de la Torre-Luque A，Diaz-Piedra C，．Listening to Relaxing Music Improves PhysiologicalResponses in Premature Infants：A Randomized ControlledTrial［J］．Adv Neonatal Care，２０１８，１８（１）：５８-６９．［１６］Shah S R，Kadage S，Sinn J．Trial of music，sucrose，andcombination therapy for pain relief during heel prickprocedures in neonates［J］．J Pediatr，２０１７，１９０：１５３-１５８．［１７］，，，．［J］．，２０１７，３２（１１）：９７４-９７６．［１８］，．［J］．（），２０１７，３２（６）：４７６-４７９．［１９］，，，．［J］．，２０２０，４２（８）：１０５８-１０６１．·２２５·２０２１１６４ Journal of Chengdu Medical College，２０２１，Vol．１６，No．４　　　www.taodocs.com　　　　　　　，，、，，；、、。，，，。β-，，５-，，［１４］。，。２４，，＞３２。，。，，，，［１５-１６］。［１７］，，，，，。、、、，、、。４０～６０；，［１８］。［１９］，，，，。《》，，，，NBNA，。，，；，NBNA。［１］Natarajan G，Shankaran S．Short-andlong-term outcomes ofmoderate and late preterm infants［J］．Am J Perinatol，２０１６，３３（３）：３０５-３１７．［２］．［J］．，２０１９，５４（３）：２３３-２３５，２２８．［３］Frey H A，Klebanoff M A．The epidemiology，etiology，andcosts of preterm birth［J］．Semin Fetal Neonatal Med，２０１６，２１（２）：６８-７３．［４］Mericq V，Martinez-Aguayo A，Uauy R，．Long-termmetabolic risk among children born premature or small forgestational age［J］．Nat Rev Endocrinol，２０１７，１３（１）：５０-６２．［５］．［J］．，２０１９，２７（２）：１１９-１２２．［６］．［J］．，２０２０，２７（１）：１４２-１４４．［７］，．［J］．，２０１８，３３（１）：１８-２１．［８］．［J］．，２０１５（１６）：２１７７-２１７９．［９］Palazzi A，NunesC C，Piccinini C A．Music therapy andmusical stimulation in the context of prematurity：a narrativeliterature review from２０１０-２０１５［J］．J Clin Nurs，２０１８，２７（１／２）：e１-e２０．［１０］Haslbeck F，Stegemann T．The effect of music therapy oninfants born preterm［J］．Dev Med Child Neurol，２０１８，６０（３）：２１７．［１１］，．［J］．（），２０１５，１７（４）：５９-６１．［１２］．［J］．，２００３，１７（６）：４４１-４４３．［１３］vander Heijden M J，Oliai Araghi S，Jeekel J，．Dohospitalized premature infants benefit from musicinterventions？A systematic review of randomized controlledtrials［J］．PLoS One，２０１６，１１（９）：e０１６１８４８．［１４］，，．［J］．，２０１６（１７）：１３２，１３４．［１５］Caparros-Gonzalez RA，de la Torre-Luque A，Diaz-Piedra C，．Listening to Relaxing Music Improves PhysiologicalResponses in Premature Infants：A Randomized ControlledTrial［J］．Adv Neonatal Care，２０１８，１８（１）：５８-６９．［１６］Shah S R，Kadage S，Sinn J．Trial of music，sucrose，andcombination therapy for pain relief during heel prickprocedures in neonates［J］．J Pediatr，２０１７，１９０：１５３-１５８．［１７］，，，．［J］．，２０１７，３２（１１）：９７４-９７６．［１８］，．［J］．（），２０１７，３２（６）：４７６-４７９．［１９］，，，．［J］．，２０２０，４２（８）：１０５８-１０６１．·２２５·２０２１１６４ Journal of Chengdu Medical College，２０２１，Vol．１６，No．４　　　www.taodocs.com　　　　　　　