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早产儿会寻求节律性刺激,而这种体验有助于神经行为发育。

Premature infants seek rhythmic stimulation, and the experience facilitates neurobehavioral development.

作者信息

Thoman E B, Ingersoll E W, Acebo C

机构信息

Biobehavioral Sciences Graduate Degree Program, University of Connecticut, Storrs 06269-4154.

出版信息

J Dev Behav Pediatr. 1991 Feb;12(1):11-8.

PMID:2016397
Abstract

This was a clinical trials study of self-regulation of rhythmic stimulation in preterm infants. Infants were enrolled in three regional hospitals and followed in four outlying hospitals. Forty-five premature infants, 22 males and 23 females, enrolled at 29-33 weeks conceptional age (CA) received in the isolette either a "breathing" teddy bear (set to breathe at one-half the infant's quiet sleep respiration rate) or a nonbreathing bear. Using time-lapse videorecording at a 60:1 ratio, subjects were recorded for 3 days at the beginning of the Intervention period and again for 3 days, 2 weeks later. After discharge from the hospital, the sleep of the subjects was monitored in the home for a 24-hour period on weeks 1, 2, 3, 4, and 5 after expected date of birth (postterm). Infants with a breathing bear spent more time in contact with the bear, and increased their contact over the two weeks. Postterm, the "breathing bear babies" showed more quiet sleep and a greater increase in quiet sleep over weeks. The results indicate that premature infants ("prematures") are capable of organizing their motility to express a preference for rhythmic stimulation, and that the experience facilitates neurobehavioral development.

摘要

这是一项关于早产儿节律性刺激自我调节的临床试验研究。婴儿在三家地区医院登记入组,并在四家偏远医院进行随访。45名早产儿,22名男性和23名女性,孕龄(CA)为29 - 33周,在保温箱中接受了一只“呼吸”泰迪熊(设置为以婴儿安静睡眠呼吸频率的一半进行呼吸)或一只不呼吸的熊。以60:1的比例进行延时录像,在干预期开始时对受试者记录3天,2周后再记录3天。出院后,在预期出生日期(足月后)的第1、2、3、4和5周,对受试者在家中的睡眠进行24小时监测。拥有呼吸熊的婴儿与熊接触的时间更多,并且在两周内接触时间增加。足月后,“呼吸熊宝宝”表现出更多的安静睡眠,并且在几周内安静睡眠增加幅度更大。结果表明,早产儿能够组织自身运动以表达对节律性刺激的偏好,并且这种体验促进神经行为发育。

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