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按摩对暴露于可卡因的早产新生儿的影响。

Massage effects on cocaine-exposed preterm neonates.

作者信息

Wheeden A, Scafidi F A, Field T, Ironson G, Valdeon C, Bandstra E

机构信息

Department of Pediatrics, University of Miami School of Medicine, Florida 33101.

出版信息

J Dev Behav Pediatr. 1993 Oct;14(5):318-22.

PMID:8254063
Abstract

Thirty preterm cocaine-exposed preterm neonates (mean gestational age 30 wks, mean birth weight = 1212 g, mean intensive care unit duration = 18 days) were randomly assigned to a massage therapy or a control group as soon as they were considered medically stable. Group assignment was based on a random stratification of gestational age, birth weight, intensive care unit duration, and entry weight into the study. The treatment group (N = 15) received massages for three 15-minute periods 3 consecutive hours for a 10-day period. Findings suggested that the massaged infants (1) averaged 28% greater weight gain per day (33 vs 26 g) although the groups did not differ in intake (calories or volume), (2) showed significantly fewer postnatal complications and stress behaviors than did control infants, and (3) demonstrated more mature motor behaviors on the Brazelton examination at the end of the 10-day study period.

摘要

30名早产且母亲孕期接触过可卡因的新生儿(平均胎龄30周,平均出生体重1212克,平均在重症监护病房的时长为18天)在被认为病情稳定后,立即被随机分配至按摩治疗组或对照组。分组是基于胎龄、出生体重、在重症监护病房的时长以及进入研究时的体重进行随机分层的。治疗组(N = 15)在10天的时间里,连续3个小时,每天分三个15分钟时段接受按摩。研究结果表明,接受按摩的婴儿(1)尽管两组的摄入量(卡路里或奶量)并无差异,但平均每天体重增加量高出28%(分别为33克和26克),(2)与对照组婴儿相比,产后并发症和应激行为显著更少,(3)在为期10天的研究结束时,在布雷泽尔顿测试中表现出更成熟的运动行为。

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