Ohgi S, Akiyama T, Arisawa K, Shigemori K
Department of Preventive Medicine & Health Promotion, Nagasaki University School of Medicine, Nagasaki, Japan.
Arch Dis Child. 2004 Mar;89(3):212-6. doi: 10.1136/adc.2002.025064.
Infants with neonatal cerebral insults are susceptible to excessive crying as a result of difficulties with self-regulation.
To compare the effectiveness of swaddling versus massage therapy in the management of excessive crying of infants with cerebral insults.
Randomised three-week parallel comparison of the efficacy of two intervention methods. Infants with symptoms of troublesome crying and their parents were randomly assigned to a swaddling intervention group (n = 13) or a massage intervention group (n = 12).
The amount of total daily crying decreased significantly in the swaddling group, but did not decrease significantly in the massage group. Infant behavioural profiles and maternal anxiety levels improved significantly in the swaddling group post-intervention. Parents in the swaddling group were more satisfied with the effectiveness of the intervention in reducing crying than parents in the massage group.
Results indicate that swaddling may be more effective than massage intervention in reducing crying in infants with cerebral injuries.
患有新生儿脑损伤的婴儿由于自我调节困难，容易出现过度哭闹。
比较襁褓法与按摩疗法对脑损伤婴儿过度哭闹的治疗效果。
对两种干预方法的疗效进行为期三周的随机平行对照研究。有哭闹问题症状的婴儿及其父母被随机分为襁褓干预组（n = 13）或按摩干预组（n = 12）。
襁褓组每日总哭闹量显著减少，而按摩组未显著减少。干预后，襁褓组婴儿的行为特征和母亲的焦虑水平显著改善。襁褓组的父母对干预减少哭闹效果的满意度高于按摩组的父母。
结果表明，在减少脑损伤婴儿哭闹方面，襁褓法可能比按摩干预更有效。
