间断俯卧体位对早产儿生长发育及睡眠质量的作用

doi:10.3969/j.issn.1674-490X.2024.03.004

医学研究与教育 ›› 2024, Vol. 41 ›› Issue (3): 25-30.DOI: 10.3969/j.issn.1674-490X.2024.03.004

间断俯卧体位对早产儿生长发育及睡眠质量的作用

史群芳¹,王玉²

1.河北大学研究生院, 河北保定 071000;
2.河北大学附属医院儿科, 河北保定 071000

收稿日期:2024-04-08 出版日期:2024-06-25 发布日期:2024-06-25
通讯作者: 王玉(1981—),女,河北保定人,主任医师,硕士,硕士生导师,主要从事新生儿疾病的诊治研究。E-mail: 13785269178@163.com
作者简介:史群芳(1999—),女,河南南阳人,住院医师,在读硕士,主要从事新生儿疾病的诊治研究。 E-mail: 2530713555@qq.com
基金资助:
河北大学附属医院基金项目(2023QA02);河北大学医学学科培育项目(2023B05)

Received:2024-04-08 Online:2024-06-25 Published:2024-06-25

摘要/Abstract

摘要： 目的探究间断俯卧体位对早产儿生长发育及睡眠质量的作用。方法选取2022年9月至2023年12月河北大学附属医院新生儿科收治的96例早产患儿作为研究对象,按随机数字表法分2组,每组48例。对照组采取常规仰卧体位,观察组采取间断俯卧体位,试验结束后,对比2组患儿睡眠状况评估指标、NANB神经行为测试评分、体格生长发育指标(体质量、身长、头围)以及患儿家长满意程度。结果观察组早产儿睡眠质量高于对照组,差异有统计学意义(P<0.05);出生后30 d,观察组多项神经行为测试评分高于对照组早产儿,差异有统计学意义(P<0.05);出生后3个月,观察组早产儿各项体格生长发育指标优于对照组早产儿,差异有统计学意义(P<0.05);相比对照组,观察组患儿家长对此次干预效果满意程度高于对照组,差异有统计学意义(P<0.05)。结论间断俯卧体位可提升早产患儿睡眠质量,增加睡眠时长,促进患儿体格生长、神经发育。

关键词: 间断俯卧体位, 早产儿, 生长发育, NANB神经行为测试评分, 睡眠质量, 仰卧体位, 俯卧体位

Abstract: Objective To investigate the effect of intermittent prone position on growth and sleep quality of premature infants. Methods A total of 96 premature babies admitted to the Neonatology Department of the Affiliated Hospital of Hebei University from September 2022 to December 2023 were selected as the study objects, and were included in the observation group(n=48)and the control group(n=48)according to random number table method. The control group took the conventional supine position, and the observation group took the intermittent prone position. After the end of the experiment, the sleep assessment indicators, NANB neurobehavioral test scores, physical growth and development indicators(body mass, length, head circumference)and satisfaction of parents of premature babies were compared between the two groups. Results The sleep quality of preterm infants in observation group was generally higher, and the difference was statistically significant(P<0.05). At 30 d after birth, the scores of multiple neurobehavioral tests in the observation group were significantly higher than those in the control group, with statistical significance(P<0.05). At 30 months after birth, the physical growth and development indexes of preterm infants in the observation group were significantly better than those in the control group, with statistical significance(P<0.05). Compared with the control group, parents of children in the observation group were more satisfied with the intervention effect, and the difference was statistically significant(P<0.05). Conclusion Intermittent prone position can greatly improve the sleep quality of premature children, increase sleep duration, and promote physical growth and neurological development of children.

Key words: intermittent prone position, premature infant, growth and development, NANB neurobehavioral test score, sleep quality, supine position, prone position

中图分类号:

史群芳,王玉. 间断俯卧体位对早产儿生长发育及睡眠质量的作用[J]. 医学研究与教育, 2024, 41(3): 25-30.

参考文献

[1] FIRMINO C, RODRIGUES M, FRANCO S, et al. Nursing interventions that promote sleep in preterm newborns in the neonatal intensive care units: an integrative review[J]. Int J Environ Res Public Health, 2022, 19(17): 10953. DOI: 10.3390/ijerph191710953.
[2] 康乐.俯卧位经鼻持续气道正压通气应用于早产儿呼吸窘迫的临床价值[J].临床医学, 2024, 44(1): 81-83. DOI: 10.19528/j.issn.1003-3548.2024.01.026.
[3] 刘南石妹,聂莉莉,曾香连,等.不同体位鼻饲喂养早产儿对生长发育的影响[J].吉林医学, 2024, 45(1): 202-204. DOI: 10.3969/j.issn.1004-0412.2024.01.061.
[4] 李梦洁.体位对轻度阻塞性睡眠呼吸暂停患者睡眠结构的影响[J].世界睡眠医学杂志, 2021, 8(3): 518-520. DOI: 10.3969/j.issn.2095-7130.2021.03.061.
[5] 谢重阳,华洁.不同睡眠时相下俯卧位及仰卧位对早产儿心肺功能及生长发育的影响[J].中国实用护理杂志, 2017, 33(9): 657-661. DOI: 10.3760/cma.j.issn.1672-7088.2017.09.004.
[6] 邱淑华,李艳梅.观察俯卧位联合睡眠保护护理对早产儿睡眠的影响[J].世界睡眠医学杂志, 2023, 10(8): 1828-1830. DOI: 10.3969/j.issn.2095-7130.2023.08.032.
[7] 雷静,张辽.肌肤接触安抚联合鸟巢式护理干预对早产儿睡眠情况及生长发育的影响[J].临床医学研究与实践, 2022, 7(30): 170-172. DOI: 10.19347/j.cnki.2096-1413.202230048.
[8] 陈思妤,高峰,王红利.初乳口腔免疫疗法联合口腔按摩对早产儿生长发育及神经发育的影响[J].临床医学工程, 2024, 31(1): 87-88. DOI: 10.3969/j.issn.1674-4659.2024.01.0087.
[9] MANACERO S, NUNES M L. Longitudinal study of sleep behavior and motor development in low-birth-weight preterm children from infancy to preschool years[J]. J Pediatr, 2021, 97(1): 44-51. DOI: 10.1016/j.jped.2019.10.010.
[10] 杨勇晖,贺晓日,张雪菲,等.极早早产儿支气管肺发育不良的临床特征[J].中南大学学报(医学版), 2023, 48(10): 1592-1601.
[11] 李淼,马晓琪,林素花,等.口腔运动干预对早产儿经口喂养能力的影响[J].汕头大学医学院学报, 2023, 36(4): 211-214. DOI: 10.13401/j.cnki.jsumc.2023.04.004.
[12] 马子怡,丁晓华,王玥,等.声音对NICU早产儿生长发育影响的系统评价再评价[J].中国疗养医学, 2024, 33(1): 12-18. DOI: 10.13517/j.cnki.ccm.2024.01.003.
[13] BOUREL-PONCHEL E, HASAERTS D, CHALLAMEL M J, et al. Behavioral-state development and sleep-state differentiation during early ontogenesis[J]. Clin Neurophysiol, 2021, 51(1): 89-98. DOI: 10.1016/j.neucli.2020.10.003.
[14] GEORGOULAS A, JONES L, LAUDIANO-DRAY M P, et al. Sleep-wake regulation in preterm and term infants[J]. Sleep, 2021, 44(1): zsaa148. DOI: 10.1093/sleep/zsaa148.
[15] PARK J, SILVA S G, THOYRE S M, et al. Sleep-wake states and feeding progression in preterm infants[J]. Nurs Res, 2020, 69(1): 22-30. DOI: 10.1097/NNR.0000000000000395.
[16] ASAKA Y, MITANI Y, OHTA H, et al. Preterm toddlers have low nighttime sleep quality and high daytime activity[J]. Sci Rep, 2022, 12(1): 20032. DOI: 10.1038/s41598-022-24338-8.
[17] 郑晓娴.吊床体位干预对早产儿睡眠质量、并发症和生长发育的影响[J].医学理论与实践, 2023, 36(24): 4288-4290. DOI: 10.19381/j.issn.1001-7585.2023.24.058.
[18] 谢维维.15°俯卧位对早产儿血氧饱和度、血压、心率及睡眠质量的影响[J].吉林医学, 2021, 42(1): 232-234. DOI: 10.3969/j.issn.1004-0412.2021.01.092.
[19] 刘飞跃,邓德贵,张馨尹,等.俯卧位通气患者安全和舒适护理方案的构建[J].中华护理杂志, 2023, 58(10): 1199-1205. DOI: 10.3761/j.issn.0254-1769.2023.10.007.
[20] 范飞燕,姜赤秋.俯卧位通气治疗新生儿呼吸窘迫综合征并发症风险的Meta分析[J].江汉大学学报(自然科学版), 2023, 51(4): 87-96. DOI: 10.16389/j.cnki.cn42-1737/n.2023.04.011.

间断俯卧体位对早产儿生长发育及睡眠质量的作用

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