Department of Rehabilitation, Kinki University Faculty of Medicine, 377-2 Ohno-Higashi, Osakasayama, Osaka 589-8511, Japan.
Arch Dis Child Fetal Neonatal Ed. 2013 May;98(3):F244-8. doi: 10.1136/archdischild-2011-301469. Epub 2012 Jul 21.
The purpose of this study was to determine whether therapeutic touch in preterm infants can ameliorate their sensory punctate stimulus response in terms of brain activation measured by near-infrared spectroscopy.
The study included 10 preterm infants at 34-40 weeks' corrected age. Oxyhaemoglobin (Oxy-Hb) concentration, heart rate (HR), arterial oxygen saturation (SaO2) and body movements were recorded during low-intensity sensory punctate stimulation for 1 s with and without therapeutic touch by a neonatal development specialist nurse. Each stimulation was followed by a resting phase of 30 s. All measurements were performed with the infants asleep in the prone position.
sensory punctate stimulus exposure significantly increased the oxy-Hb concentration but did not affect HR, SaO2 and body movements. The infants receiving therapeutic touch had significantly decreased oxy-Hb concentrations over time.
Therapeutic touch in preterm infants can ameliorate their sensory punctate stimulus response in terms of brain activation, indicated by increased cerebral oxygenation. Therefore, therapeutic touch may have a protective effect on the autoregulation of cerebral blood flow during sensory punctate stimulus in neonates.
本研究旨在通过近红外光谱测量脑激活，确定早产儿接受治疗性触摸是否可以改善其感觉点状刺激反应。
本研究纳入了 10 名校正胎龄为 34-40 周的早产儿。由新生儿发育专家护士对早产儿进行 1 秒低强度感觉点状刺激，同时进行和不进行治疗性触摸，记录氧合血红蛋白（Oxy-Hb）浓度、心率（HR）、动脉血氧饱和度（SaO2）和身体运动。每次刺激后休息 30 秒。所有测量均在婴儿俯卧位睡眠时进行。
感觉点状刺激暴露显著增加了氧合血红蛋白浓度，但对 HR、SaO2 和身体运动没有影响。接受治疗性触摸的婴儿的氧合血红蛋白浓度随时间显著降低。
早产儿接受治疗性触摸可以改善其感觉点状刺激反应，表现为脑氧合增加。因此，治疗性触摸可能对新生儿感觉点状刺激时的脑血流自动调节具有保护作用。
