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整脊疗法与静态触摸对早产儿心率和血氧饱和度的影响:一项随机对照试验。

Effects of osteopathic treatment versus static touch on heart rate and oxygen saturation in premature babies: A randomized controlled trial.

机构信息

RAISE Lab, Foundation COME Collaboration, Pescara, Italy; Division of Neonatology, "V. Buzzi" Children's Hospital, ASST-FBF-Sacco, Milan, Italy; Research Department, SOMA, Istituto Osteopatia Milano, Milan, Italy.

RAISE Lab, Foundation COME Collaboration, Pescara, Italy.

出版信息

Complement Ther Clin Pract. 2020 May;39:101116. doi: 10.1016/j.ctcp.2020.101116. Epub 2020 Feb 8.

Abstract

BACKGROUND

Osteopathic manipulative treatment (OMT) has been successfully tested in the context of preterm infants. No studies, however, have been conducted to investigate the OMT immediate effects on physiological measurements, such as partial oxygen saturation (SpO2) and heart rate (HR). The purpose of the present study was to assess the effect of osteopathic treatment on SpO2 and HR values and to compare it with 10 min of static touch.

MATERIALS AND METHODS

Ninety-six preterm infants (41 male), aged 33.5 weeks (±4.3) with mean weight at birth of 2067gr (±929) were recruited from the neonatal intensive care unit (NICU) of the Buzzi Hospital in Milan, and randomly allocated to two groups: OMT and Static Touch. Each protocol session consisted of: a) 5-min Pre-touch baseline recording, b) 10-min touch procedure, c) 5-min post-touch recording. Primary and secondary outcomes were, respectively, the baseline changes of HR and SpO2.

RESULTS

The 2 × 2 repeated measure ANOVA for HR showed a statistically significant effect (F (1,94) = 5.34; p < 0.02), revealing that the OMT group decreases the HR value at T2 (p = 0.006). In contrast, SpO2 analysis showed an increase of SpO2 value where the OMT group demonstrated higher values at T2 (p = 0.04).

CONCLUSION

Results from the present study suggest that a single osteopathic intervention may induce beneficial effects on preterm physiological parameters.

TRIAL REGISTRATION

ClinicalTrials.gov identifier: NCT03833635 - Date: February 7, 2019.

摘要

背景

整骨手法治疗(OMT)已在早产儿中成功进行了测试。但是,尚无研究调查 OMT 对生理测量值(如部分氧饱和度(SpO2)和心率(HR))的即时影响。本研究的目的是评估整骨治疗对 SpO2 和 HR 值的影响,并将其与 10 分钟的静态触摸进行比较。

材料和方法

从米兰 Buzzi 医院的新生儿重症监护病房(NICU)招募了 96 名胎龄为 33.5 周(±4.3),出生时平均体重为 2067g(±929)的早产儿(41 名男性),并将其随机分配到两组:OMT 和静态触摸。每个方案疗程包括:a)5 分钟的预触摸基线记录,b)10 分钟的触摸程序,c)5 分钟的触摸后记录。主要和次要结局分别为 HR 和 SpO2 的基线变化。

结果

HR 的 2×2 重复测量方差分析显示出统计学上的显著效果(F(1,94)=5.34;p<0.02),表明 OMT 组在 T2 时降低了 HR 值(p=0.006)。相比之下,SpO2 分析显示 SpO2 值增加,其中 OMT 组在 T2 时显示出更高的值(p=0.04)。

结论

本研究的结果表明,单次整骨干预可能会对早产儿的生理参数产生有益的影响。

试验注册

ClinicalTrials.gov 标识符:NCT03833635-日期:2019 年 2 月 7 日。

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