Division of Neonatology, Department of Paediatrics, Medical University of Graz, Graz, Austria.
Research Unit for Neonatal Micro- and Macrocirculation, Department of Paediatrics, Medical University of Graz, Graz, Austria.
Acta Paediatr. 2018 Jun;107(6):952-957. doi: 10.1111/apa.14239. Epub 2018 Feb 15.
This study analysed tactile stimulation during neonatal transition and resuscitation in preterm and term neonates born by Caesarean delivery. It examined the frequency, location and body region, duration and possible effects of stimulation on heart rate and arterial oxygen saturation (SpO ).
Two independent investigators analysed video recordings of tactile stimulation on term and preterm neonates during neonatal transition from January 2012 to December 2014. They were recorded during a prospective observational study and randomised controlled trial at a tertiary centre, the Medical University of Graz, Austria. SpO and heart rate were continuously recorded. Data on the frequency, body region and duration of stimulation were collected. To investigate the possible effects of stimulation, SpO and heart rate were compared before and after stimulation.
Term infants received tactile stimulation more than once, and it tended to start later, last longer and be applied in more locations than in preterm infants. Only preterm infants showed a significant increase in SpO after stimulation and heart rates did not show any significant changes in either group.
Tactile stimulation was applied in different ways to preterm and term infants during neonatal transition and SpO showed a significant increase in preterm infants.
本研究分析了剖宫产分娩的早产儿和足月儿在新生儿过渡期和复苏期间的触觉刺激。它检查了刺激的频率、位置和身体区域、持续时间以及对心率和动脉血氧饱和度（SpO ）的可能影响。
两名独立的研究人员分析了 2012 年 1 月至 2014 年 12 月期间在奥地利格拉茨医科大学进行的一项前瞻性观察研究和随机对照试验中，在新生儿过渡期对足月和早产儿进行触觉刺激的视频记录。连续记录 SpO 和心率。收集刺激的频率、身体区域和持续时间的数据。为了研究刺激的可能影响，比较了刺激前后的 SpO 和心率。
足月婴儿接受了不止一次的触觉刺激，而且刺激开始得更晚，持续时间更长，应用的部位也比早产儿多。只有早产儿在刺激后 SpO 显著增加，而两组的心率均无明显变化。
在新生儿过渡期，触觉刺激以不同的方式应用于早产儿和足月儿，早产儿的 SpO 显著增加。
