Standley J M, Moore R S
Pediatr Nurs. 1995 Nov-Dec;21(6):509-12, 574.
Aversive environment auditory stimuli is a common concern in neonatal intensive care. Recently, interest has developed regarding the use of music applications to mask such stimuli and to reduce the high risk for complications or failure to thrive. In this study of 20 oxygenated, low birth weight infants in a Newborn Intensive Care Unit of a regional medical center in the Southeastern United States, 10 infants listened to lullabies and 10 infants to recordings of their mother's voice through earphones for 20 minutes across three consecutive days. Oxygen saturation levels and frequency of oximeter alarms were recorded. Results indicated a differential response to the two auditory stimuli as listening time progressed. On Day 1, the infants listening to music had significantly higher oxygen saturation levels, but these effects disappeared by Days 2 and 3. On Days 2 and 3, however, the babies hearing music had significantly depressed oxygen saturation levels during the posttest intervals after the music was terminated. Infants hearing music had significantly fewer occurrences of Oximeter alarms during auditory stimuli than did those listening to the mothers' voice. Implications for the therapeutic use of auditory stimuli in the Newborn Intensive Care Unit are discussed.
厌恶环境听觉刺激是新生儿重症监护中的一个常见问题。最近，人们对使用音乐应用来掩盖此类刺激并降低并发症或发育不良的高风险产生了兴趣。在美国东南部一家地区医疗中心的新生儿重症监护病房对20名吸氧的低体重婴儿进行的这项研究中，10名婴儿连续三天每天通过耳机听20分钟摇篮曲，另外10名婴儿听母亲声音的录音。记录了血氧饱和度水平和血氧仪警报频率。结果表明，随着聆听时间的推移，对这两种听觉刺激的反应存在差异。在第1天，听音乐的婴儿血氧饱和度水平显著更高，但到第2天和第3天这些效果消失了。然而，在第2天和第3天，听音乐的婴儿在音乐结束后的测试后间隔期间血氧饱和度水平显著降低。与听母亲声音的婴儿相比，听音乐的婴儿在听觉刺激期间血氧仪警报的发生次数显著更少。讨论了在新生儿重症监护病房中听觉刺激的治疗用途。
