葵花油按摩促进早产儿体重增长的临床观察-东南大学学报医学版

葵花油按摩促进早产儿体重增长的临床观察

单位：川北医学院附属医院新生儿科, 四川南充 637000

分类号：R174

出版年·卷·期（页码）：2014·33·第六期（710-712）

摘要：

目的: 研究使用葵花油按摩是否能有效增加低出生体重早产儿的体重.方法: 78例低出生体重早产儿随机分成葵花油按摩组(41例,采用10 ml·kg^-1葵花油按摩)和无油按摩组(37例).分别在按摩后1、2个月测量体重、身长、头围等生长参数,并在2个月时评估疾病发生情况.结果: 两组早产儿的年龄、胎龄、性别、出生体重、身长、头围及住院时间、母亲教育水平等情况比较差异无统计学意义(P>0.05).葵花油按摩组早产儿体重在按摩后1、2个月明显高于无油按摩组(P<0.05),且脓疱疮及尿布皮炎的发生率明显低于无油按摩组(P<0.05).结论: 采用葵花油按摩可能促进低出生体重早产儿体重增长,防止皮肤感染.

Objective: To determine whether massage with Sunflower Oil enhances the weights of low birth weight(LBW) preterm infants. Methods: Eighty LBW preterm infants were randomly assigned to two groups to receive moderate pressure massage alone or the same massage with Sunflower Oil.The growth parameters and any disease that occurred(weight,height and head circumference) were evaluated at ages 1 and 2 months after intervention. Results: Seventy-eight infants including 39 girls and 39 boys with mean gestational age of (34±1.24) weeks were evaluated.The differences in age,means of gestational age,sex,birth weight,birth height, birth head circumference, length of NICU stay and maternal education between the two groups were not of statistical significance(P>0.05).In the Oil massage group, mean weight at ages 1 month and 2 months was significantly greater than that of the body massage group(P<0.05),and the incidence of impetigo and diaper dermatitis was significantly lower than that of the body massage group(P<0.05). Conclusion: Sunflower Oil massage could be used as an effective and safe intervention for weight gain in LBW preterm infants.

参考文献：

[1] ISLAMI Z,FALLAH R,MOSAVIAN T,et al.Growth parameters of NICU admitted low birth weight preterm neonates at corrected ages of 6 and 12 month[J].Iran J Reprod Med,2012,10(5): 459-464.
[2] 齐华雪,陈平洋,袁绍丽.早产发生的危险因素及其转归的流行病学调查[J].临床儿科杂志,2012,30(6): 565-567.
[3] KUMAR J,UPADHYAY A,DWIVEDI A K,et al.Effect of oil massage on growth in preterm neonates less than 1800 g: a randomized control trial[J].Indian J Pediatr,2013,80(6): 465-469.
[4] MOYER-MILEUR L J,HALEY S,SLATER H,et al.Massage improves growth quality by decreasing body fat deposition in male preterm infants [J].J Pediatr,2013,162(3): 490-495.
[5] 朱建幸,王德芬.不同抚触方法对新生儿生长发育的影响——多中心临床研究[J].实用儿科临床杂志,2000,15(4): 192-194.
[6] DARMSTADT G L,SAHA S K,AHMED A S,et al.Effect of skin barrier therapy on neonatal mortality rates in preterm infants in Bangladesh: a randomized,controlled,clinical trial[J].Pediatrics,2008,121(3): 522-529.
[7] ANG J Y,LUA J L,MATHUR A,et al.A randomized placebo-controlled trial of massage therapy on the immune system of preterm infants[J].Pediatrics,2012,130(6): 1549-1558.
[8] SMITH S L,HALEY S,SLATER H,et al.Heart rate variability during caregiving and sleep after massage therapy in preterm infants[J].Early Hum Dev,2013,89(8): 525-529.
[9] 王爱明.新生儿抚触的临床体会与研究[J].医学信息,2013,5: 220-221.
[10] GUZZETTA A,D'ACUNTO M G,CAROTENUTO M,et al.The effects of preterm infant massage on brain electrical activity[J].Dev Med Child Neurol,2011,53(Suppl 4): 46-51.
[11] DANBY S G,ALENEZI T,SULTAN A,et al.Effect of olive and sunflower seed oil on the adult skin barrier: implications for neonatal skin care[J].Pediatr Dermatol,2013,30(1): 42-50.
[12] RUDNICKI J,BOBERSKI M,BUTRYMOWICZ E,et al.Recording of amplitude-integrated electroencephalography,oxygen saturation,pulse rate,and cerebral blood flow during massage of premature infants[J].Am J Perinatol,2012,9(7): 561-566.
[13] ABDALLAH B,BADR L K,HAWWARI M.The efficacy of massage on short and long term outcomes in preterm infants[J].Infant Behav Dev,2013,36(4): 662-669.
[14] ARORA J,KUMAR A,RAMJI S.Effect of oil massage on growth and neurobehavior invery low birth weight preterm neonates[J].Indian Pediatr,2005,42(11): 1092-1100.
[15] SANKARANARAYANAN K,MONDKAR J A,CHAUHAN M M,et al.Oil massage in neonates: an open randomized controlled study of coconut versus mineral oil[J].Indian Pediatr,2005,42(9): 877-884.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录