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按摩疗法与袋鼠式护理对低出生体重早产儿体重及住院时长的比较效果

Comparative Effect of Massage Therapy versus Kangaroo Mother Care on Body Weight and Length of Hospital Stay in Low Birth Weight Preterm Infants.

作者信息

Rangey Priya Singh, Sheth Megha

机构信息

S.B.B. College of Physiotherapy, V.S. Hospital Campus, Ellisbridge, Ahmedabad, Gujarat 380006, India.

出版信息

Int J Pediatr. 2014;2014:434060. doi: 10.1155/2014/434060. Epub 2014 May 25.

DOI:10.1155/2014/434060
PMID:24976830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4058189/
Abstract

Background. Massage therapy (MT) and kangaroo mother care (KMC) are both effective in increasing the weight and reducing length of hospital stay in low birth weight preterm infants but they have not been compared. Aim. Comparison of effectiveness of MT and KMC on body weight and length of hospital stay in low birth weight preterm (LBWPT) infants. Method. 30 LBWPT infants using convenience sampling from Neonatal Intensive Care Unit, V.S. hospital, were randomly divided into 2 equal groups. Group 1 received MT and Group 2 received KMC for 15 minutes, thrice daily for 5 days. Medically stable babies with gestational age < 37 weeks and birth weight < 2500 g were included. Those on ventilators and with congenital, orthopedic, or genetic abnormality were excluded. Outcome measures, body weight and length of hospital stay, were taken before intervention day 1 and after intervention day 5. Level of significance was 5%. Result. Data was analyzed using SPSS16. Both MT and KMC were found to be effective in improving body weight (P = 0.001, P = 0.001). Both were found to be equally effective for improving body weight (P = 0.328) and reducing length of hospital stay (P = 0.868). Conclusion. MT and KMC were found to be equally effective in improving body weight and reducing length of hospital stay. Limitation. Long term follow-up was not taken.

摘要

背景。按摩疗法(MT)和袋鼠式护理(KMC)在增加低出生体重早产儿体重和缩短住院时间方面均有效,但尚未进行比较。目的。比较MT和KMC对低出生体重早产儿(LBWPT)体重和住院时间的效果。方法。从V.S.医院新生儿重症监护病房采用便利抽样法选取30例LBWPT婴儿,随机分为两组,每组15例。第1组接受MT,第2组接受KMC,每次15分钟,每天3次,共5天。纳入孕周<37周且出生体重<2500g的病情稳定婴儿。排除使用呼吸机以及患有先天性、骨科或遗传异常的婴儿。在干预前第1天和干预后第5天测量体重和住院时间等结局指标。显著性水平为5%。结果。使用SPSS16对数据进行分析。发现MT和KMC在改善体重方面均有效(P = 0.001,P = 0.001)。两者在改善体重(P = 0.328)和缩短住院时间(P = 0.868)方面效果相当。结论。发现MT和KMC在改善体重和缩短住院时间方面效果相当。局限性。未进行长期随访。

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Comparison of Massage and Prone Position on Heart Rate and Blood Oxygen Saturation Level in Preterm Neonates Hospitalized in Neonatal Intensive Care Unit: A Randomized Controlled Trial.新生儿重症监护病房住院早产儿按摩与俯卧位对心率和血氧饱和度水平影响的比较:一项随机对照试验
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Starting the conversation: community perspectives on preterm birth and kangaroo mother care in southern Malawi.开启对话:马拉维南部社区对早产和袋鼠式护理的看法。
J Glob Health. 2018 Jun;8(1):010703. doi: 10.7189/jogh.08.010703.
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Massage therapy research review.按摩疗法研究综述。
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本文引用的文献

1
Kangaroo Mother Care in reducing pain in preterm neonates on heel prick.袋鼠式护理在减轻足跟采血早产儿疼痛中的应用。
Indian J Pediatr. 2013 Jan;80(1):6-10. doi: 10.1007/s12098-012-0760-6. Epub 2012 Apr 28.
2
Kangaroo mother care to reduce morbidity and mortality in low birthweight infants.袋鼠式护理可降低低体重儿的发病率和死亡率。
Cochrane Database Syst Rev. 2011 Mar 16(3):CD002771. doi: 10.1002/14651858.CD002771.pub2.
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'Kangaroo mother care' to prevent neonatal deaths due to preterm birth complications.袋鼠式护理预防因早产并发症导致的新生儿死亡。
Int J Epidemiol. 2010 Apr;39 Suppl 1(Suppl 1):i144-54. doi: 10.1093/ije/dyq031.
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Effect of kangaroo mother care on postpartum depression.袋鼠式护理对产后抑郁的影响。
J Trop Pediatr. 2009 Feb;55(1):36-8. doi: 10.1093/tropej/fmn083. Epub 2008 Dec 9.
5
Massage therapy reduces hospital stay and occurrence of late-onset sepsis in very preterm neonates.按摩疗法可减少极早产儿的住院时间和晚发性败血症的发生。
J Perinatol. 2008 Dec;28(12):815-20. doi: 10.1038/jp.2008.108. Epub 2008 Jul 17.
6
Temperature increases in preterm infants during massage therapy.按摩疗法期间早产儿体温升高。
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Oil massage in neonates: an open randomized controlled study of coconut versus mineral oil.新生儿油按摩:椰子油与矿物油的开放性随机对照研究。
Indian Pediatr. 2005 Sep;42(9):877-84.
8
The economic consequences of preterm birth during the first 10 years of life.生命最初10年中早产的经济后果。
BJOG. 2005 Mar;112 Suppl 1:10-5. doi: 10.1111/j.1471-0528.2005.00577.x.
9
Stable preterm infants gain more weight and sleep less after five days of massage therapy.稳定的早产儿在接受五天的按摩治疗后体重增加更多,睡眠减少。
J Pediatr Psychol. 2003 Sep;28(6):403-11. doi: 10.1093/jpepsy/jsg030.
10
A comparison of kangaroo mother care and conventional cuddling care.袋鼠式护理与传统搂抱式护理的比较。
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