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经口感觉同步干预后的早产神经发育结局

Preterm Neurodevelopmental Outcomes Following Orosensory Entrainment Intervention.

作者信息

Loeb Diane Frome, Imgrund Caitlin M, Lee Jaehoon, Barlow Steven M

机构信息

Baylor University, Waco, Texas.

Florida Atlantic University, Boca Raton, Florida.

出版信息

J Neonatal Nurs. 2018 Aug;24(4):203-207. doi: 10.1016/j.jnn.2017.11.001. Epub 2017 Dec 1.

DOI:10.1016/j.jnn.2017.11.001
PMID:30197548
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6121817/
Abstract

Previous research indicates that the NTrainer, a pressurized pacifier programmed to produce pulsed pneumotactile stimulation during gavage feeds, has been found to facilitate non-nutritive suck development and shorten the length of hospital stay when used in the Neonatal Intensive Care Unit (NICU). Four groups of children, including infants of diabetic mothers (IDM), healthy controls (HI), and those with respiratory distress syndrome (RDS), or chronic lung disease (CLD), were randomly assigned to an NTrainer therapy or sham 'control' condition when in the NICU. At 30 months of age, 113/223 study participants were assessed using standardized language, motor, and cognitive assessments. No significant group differences were evident between the NTrainer and sham groups in language, motor, or cognitive functioning. The NTrainer did not improve nor adversely impact language, cognition, or motor outcomes.

摘要

先前的研究表明,NTrainer是一种加压安抚奶嘴,在管饲喂养期间可产生脉冲式气触觉刺激,在新生儿重症监护病房(NICU)使用时,已被发现有助于非营养性吸吮发育并缩短住院时间。四组儿童,包括糖尿病母亲的婴儿(IDM)、健康对照组(HI)以及患有呼吸窘迫综合征(RDS)或慢性肺病(CLD)的儿童,在NICU时被随机分配到NTrainer治疗组或假“对照”组。在30个月大时,使用标准化语言、运动和认知评估对223名研究参与者中的113名进行了评估。NTrainer组和假对照组在语言、运动或认知功能方面没有明显的组间差异。NTrainer既没有改善也没有对语言、认知或运动结果产生不利影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b19/6121817/5f749a313444/nihms922705f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b19/6121817/5f749a313444/nihms922705f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b19/6121817/5f749a313444/nihms922705f1.jpg

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本文引用的文献

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Patterned frequency-modulated oral stimulation in preterm infants: A multicenter randomized controlled trial.早产儿有模式的调频口腔刺激:一项多中心随机对照试验。
PLoS One. 2019 Feb 28;14(2):e0212675. doi: 10.1371/journal.pone.0212675. eCollection 2019.
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The neuroanatomy of prematurity: normal brain development and the impact of preterm birth.早产的神经解剖学:正常脑发育及早产的影响
Clin Anat. 2015 Mar;28(2):168-83. doi: 10.1002/ca.22430. Epub 2014 Jul 15.
6
Effects of Oral Stimulus Frequency Spectra on the Development of Non-nutritive Suck in Preterm Infants with Respiratory Distress Syndrome or Chronic Lung Disease, and Preterm Infants of Diabetic Mothers.口腔刺激频谱对患有呼吸窘迫综合征或慢性肺病的早产儿以及糖尿病母亲所生早产儿非营养性吸吮发育的影响。
J Neonatal Nurs. 2014 Aug 1;20(4):178-188. doi: 10.1016/j.jnn.2013.10.005.
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Neurodevelopmental outcomes of infants born prematurely.早产儿的神经发育结局
J Dev Behav Pediatr. 2014 Jul-Aug;35(6):394-407. doi: 10.1097/01.DBP.0000452240.39511.d4.
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Adult talk in the NICU with preterm infants and developmental outcomes.新生儿重症监护病房中与早产儿的成人谈话与发育结局。
Pediatrics. 2014 Mar;133(3):e578-84. doi: 10.1542/peds.2013-0104. Epub 2014 Feb 10.
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