Roué Jean-Michel, Kuhn Pierre, Lopez Maestro Maria, Maastrup Ragnhild Agnethe, Mitanchez Delphine, Westrup Björn, Sizun Jacques
Department of Neonatal Medicine, CHRU de Brest, Brest, France.
Department of Neonatal Medicine, University Hospital of Strasbourg, Strasbourg, France.
Arch Dis Child Fetal Neonatal Ed. 2017 Jul;102(4):F364-F368. doi: 10.1136/archdischild-2016-312180. Epub 2017 Apr 18.
Despite the recent improvements in perinatal medical care leading to an increase in survival rates, adverse neurodevelopmental outcomes occur more frequently in preterm and/or high-risk infants. Medical risk factors for neurodevelopmental delays like male gender or intrauterine growth restriction and family sociocultural characteristics have been identified. Significant data have provided evidence of the detrimental impact of overhelming environmental sensory inputs, such as pain and stress, on the developing human brain and strategies aimed at preventing this impact. These strategies, such as free parental access or sleep protection, could be considered 'principles of care'. Implementation of these principles do not require additional research due to the body of evidence. We review the scientific evidence for these principles here.
尽管近期围产期医疗护理有所改善,使得存活率有所提高,但早产和/或高危婴儿出现不良神经发育结局的情况更为常见。已确定神经发育延迟的医学风险因素,如男性性别或宫内生长受限,以及家庭社会文化特征。大量数据证明了诸如疼痛和压力等压倒性环境感觉输入对发育中的人类大脑的有害影响,以及旨在预防这种影响的策略。这些策略,如父母可随时探视或睡眠保护,可被视为“护理原则”。由于已有大量证据,实施这些原则无需额外研究。我们在此回顾这些原则的科学证据。