抚触对新生儿血糖及体重的影响

为探讨抚触对新生儿健康的影响将80例足月正常新生儿分为抚触组和对照组,对40例新生儿(抚触组)进行了正规的抚触活动,观察2组在不同时间血糖、体重的变化;抚触后的新生儿血糖明显降低,体重明显增加;抚触是一种安全、简便的促进新生儿生长发育的方法之一。     

新生儿抚触对生长发育的影响

目的：探讨抚触对新生儿生长发育的影响。方法：新生儿200例随机分为2组各100例．均按常规护理，抚触组在此基础上进行头面部及四肢抚触。结果：抚触组新生儿胎粪排尽及黄疸持续时间均减少．体重、身长、头围增加，与常规组比较差异有显著性。结论：抚触能促进新生儿生长发育。效果好．家长易于掌握和运用。     

抚触对新生儿睡眠及生长发育的影响

观察新生儿给予抚触后的睡眠及生长发育情况,为临床推广做出指导。选择分娩正常足月新生儿172例为研究对象,按照数字法完全随机分为两组。对照组给予常规新生儿养育措施,观察组在对照组基础上给予其抚触,6周后对比观察两组新生儿的睡眠及其生长发育情况。结果:(1)观察组新生儿在抚触后睡眠时间及哭闹时间均优于对照组,差异具有统计学意义(P0.05);(2)观察组新生儿的生长发育各项指标均明显优于对照组,差异具有统计学意义(P0.05)。抚触对新生儿的睡眠及生长发育有良好的作用,值得临床推广。     

抚触对新生儿生长发育的影响

目的 探讨抚触对新生儿生长发育的影响.方法 将80例正常足月分娩,无窒息史,出生体重在2.5～3.5 kg,羊水清亮,孕母身体健康,生后Apgar氏评分在8分以上的新生儿,随机分为观察组40例和对照组40例,观察组采用新生儿抚触法每天3次,每次15 min,对照组按新生儿常规护理,40 d后观察两组新生儿体重、头围、身长的增长情况和睡眠情况.结果观察组新生儿较对照组体重、头围、身长增长快,睡眠时间长.结论 对新生儿进行系统的抚触有利于新生儿的生长发育.     

抚触及游泳对新生儿生长发育的影响

近年来，随着人们生活水平的提高，对人的素质教育有了较高的要求。新生儿抚触及游泳是为促进人类健康、提高人的素质而实施的行动。我院自2003年9月开展新生儿游泳工作，通过100例新生儿的观察，抚触及游泳可以促进新生儿的生长发育，现报告如下。     

抚触对新生儿生长发育影响的临床观察

目的探讨新生儿抚触对新生儿生长发育的影响.方法随机选择足月分娩的新生儿60例,自出生第1天对其进行新生儿抚触为观察组,同期分娩的新生儿60名为对照组,于生后0天、10天、30天分别进行头围、身长、体重测试.结果两组新生儿的头围、身长增长有显著性差异(P＜0.01);两组新生儿的体重增加有显著性差异(P＜0.01);结论新生儿抚触可使新生儿体重增加,促进生长发育.     

抚触对新生儿生理性体重下降的影响

目的观察抚触对新生儿生理性体重下降的影响,以便更好护理新生儿.方法将132例足月（剖宫产）正常新生儿按1：1配对分成抚触组（n=66例）和对照组（n=66例）,抚触组在出生满24 h后进行抚触,并测量体重;对照组不做抚触.观察两组新生儿生理性体重下降的恢复情况.结果抚触组的新生儿在出生第3天至第7天体重恢复明显快于对照组,两组体重增减差别均有统计学意义（P＜0.01）.结论抚触对新生儿生理性体重下降的恢复有明显促进作用.     

抚触对新生儿睡眠及生长发育的影响

目的探讨抚触对新生儿睡眠及生长发育的影响。方法将600例正常足月新生儿随机分为抚触组和对照组各300例,抚触组采用双手对婴儿全身各部位皮肤、肌肉进行抚触1个月,比较两组新生儿的发育指标及睡眠情况。结果抚触组新生儿睡眠时间平均延长2h;出生后第5天黄疸指数明显低于对照组;出生后30d头围、身高、体重与对照组比较,差异非常显著（P〈0．01）。结论通过对新生儿皮肤抚触,使新生儿入睡快、睡眠时间延长,睡眠质量提高;头围、身高、体重增加明显,加快了新生儿的生长发育;增加新生儿肠蠕动,促进胎粪排泄,降低黄疸指数。     

游泳加抚触对新生儿体重及黄疸的影响

目的：探讨游泳加抚触对新生儿体重及黄疸的影响。方法：将80例足月正常新生儿分为游泳抚触组和单纯沐浴组,每组40例。对游泳抚触组新生儿淋浴后进行游泳抚触,动作及部位均按照新生儿标准的游泳抚触方法进行。单纯沐浴组是指新生儿出生24h后,每天上午只给予淋浴1次。比较两组新生儿出生时及出生后30d体重、胎便初排时间、胎便转黄时间、新生儿黄疸指数。结果：游泳抚触组新生儿出生后30d体重为（4758±445）g,单纯沐浴组为（4215±350）g,P〈0.01,差别有显著意义。游泳抚触组胎便初排时间为（7.0±2.19）h,胎便变黄时间（39.3±17.20）h,出生后72h血黄疸指数（19.67±1.02）;单纯沐浴组胎便初排时间为（8.85±3.29）h,胎便变黄时间为（49.52±13.05）h,出生后72h血黄疸指数（20.45±1.21）,P〈0.01,差别有显著意义。结论：游泳加抚触能增加新生儿的体重,促进新生儿黄疸的消退。     

抚触对新生儿体重、摄入量的影响

目的:探讨新生儿抚触对体重、摄入量的影响。方法:随机选取在我科出生的100例足月顺产新生儿,50例给予常规新生儿科护理,50例进行新生儿抚触,观察2组新生儿体重、摄入量的变化。结果:进行抚触的新生儿体重、摄入量的增加均明显大于对照组。结论:抚触可以促进婴儿的生长发育,既简便又增加亲情,是提高新生儿整体护理水平的一项重要措施,可以推断抚触除了能增加食欲和增长体重,并能促进睡眠,也会促进婴儿的生长发育及心理发育。     

The biobehavioral effects of gentle human touch on preterm infants

This study examined the physiological and behavioral effects of a gentle human touch nursing intervention on medically fragile preterm infants (27 to 32 weeks gestational age). The Roy adaptation model of nursing was the framework for the study. The results of this study suggest that the immediate and short-term effects of a gentle human touch nursing intervention were not aversive or stressful to preterm infants of 27 to 32 weeks gestational age; furthermore, the findings document several positive, beneficial behavioral effects of the intervention on preterm infants and indicate this type of touching may be appropriate for infants in the neonatal intensive care unit.     

Physiologic and behavioral effects of gentle human touch on preterm infants

The purpose of this study was to evaluate the effects of a gentle human touch (GHT) intervention provided to 42 preterm infants (27-33 weeks gestational age), for 10 min, three times daily for 10 days. There was no significant difference in mean HR levels or in percent of abnormal heart rate (HR) or O2 saturation comparing 10-min baseline (B), GHT, and 10-min post-touch (PT) phases. There were significantly lower levels of active sleep, motor activity, and behavioral distress during GHT compared to B and P phases. There were no differences among the 42 infants in the GHT group and 42 infants in a randomly assigned control group on any outcome variable including weight gain, morbidity status, or behavioral organization. The findings suggest that GHT generally is a safe and soothing type of touch to provide to young preterm infants, but that individual infant responses to touch need to be continuously monitored by NICU staff and parents.     

国内外婴儿抚触的研究进展

婴儿抚触是通过医护人员或父母对婴儿非特定部位肌肤施以轻柔的爱抚。多年的国内外研究表明 ,抚触可促进婴儿的生长发育 ,提高机体的免疫反应性 ,同时也增进亲子感情 ,提高婴儿的情商。从抚触的研究历史、生理学基础、方法、时间、注意事项及对生长发育的影响几方面进行了综述 ,对抚触的推广应用和发展具有指导作用。     

抚触对新生儿黄疸影响的研究

目的 :探讨抚触能否降低新生儿黄疸指数和新生儿高胆红素血症。方法 :新生儿出生满 2 4h后连续 5d行新生儿抚触及皮测黄疸指数 ,并观察新生儿高胆红素血症的发生情况。结果 :第 2日至第 6日抚触组新生儿皮测黄疸指数均明显低于对照组 ,两者之间差别均有统计学意义 (P <0 .0 1) ;抚触组新生儿高胆红素血症明显低于对照组 ,差别有统计学意义 (P <0 .0 5 )。结论 :尽管新生儿黄疸的发生原因比较复杂 ,但抚触有明显降低新生儿黄疸指数和新生儿高胆红素血症发生的作用。     

抚触干预婴儿睡眠障碍的研究

目的探讨抚触与婴儿睡眠相关关系。方法对 10 0例健康新生儿做睡眠状态调查 ,平均每日睡眠时间为 17± 1.5h。将每日睡眠时间 <17h的 12 4例新生儿随机分为抚触组和对照组。对照组不做任何干预 ,抚触组每天用国际标准法抚触 2次 ,每次 15～ 2 0min。持续 3个月以上。观察 4 2d、3个月、6个月婴儿睡眠状态。结果抚触组 4 2d、3个月平均每日睡眠总时间多于对照组。 4 2d、3个月、6个月夜醒次数及时间、啼哭次数及时间少于对照组。睡眠障碍发生率及程度比对照组低而轻。建立规律睡眠时间早于对照组 ,两组差异有显著性意义 (P <0 .0 5 )。结论抚触有助于提高婴儿睡眠质量 ,减少睡眠障碍发生率 ,并能较早地建立规律睡眠时间 ,有利于婴儿的生长发育。     

Effects of blood glucose concentration on thermogenesis and glucose disposal during hyperinsulinaemia

1. The thermogenic and cardiovascular responses to glucose ingestion or infusion are altered by undernutrition. These changes may be due, in part, to alterations in the blood glucose concentration. This study investigates the effect of variation in the blood glucose concentration on the thermogenic and cardiovascular responses to a hyperinsulinaemic glucose clamp. 2. Ten healthy post-absorptive subjects (six male, aged 21-30 years) were studied on two occasions. Baseline measurements were made for 30 min, followed by a 90 min continuous insulin infusion (100 m-units min-1 m-2), during which the arterialized venous blood glucose concentration was maintained at 4.5 mmol/l (euglycaemia) or 3.5 mmol/l (mild hypoglycaemia). Measurements were made of glucose infusion rate and respiratory gas exchange from which glucose storage and oxidation and metabolic rate were calculated. 3. During the final 30 min of each hyperinsulinaemic clamp, the rates of glucose disposal (53.5 +/- 1.4 versus 38.2 +/- 1.0 mumol min-1 kg-1, P less than 0.01) and glucose storage (32.4 +/- 1.1 versus 22.8 +/- 1.2 mumols min-1 kg-1, P less than 0.05), and the increase in metabolic rate (0.44 +/- 0.08 versus 0.11 +/- 0.09 kJ min, P less than 0.01), were all greater with a blood glucose concentration of 4.5 mmol/l than of 3.5 mmol/l.(ABSTRACT TRUNCATED AT 250 WORDS)     

Evaluation of healing by gentle touch in 35 clients with cancer.

An uncontrolled, preliminary evaluation of healing by gentle touch in clients with cancer was carried out at The Centre for Complementary Care in Eskdale, Cumbria. All clients attending The Centre between 1995 and 2001 were invited to participate. Data were collected from 35 clients with cancer. Outcome measures included pre- to post-treatment changes in physical and psychological functioning. Assessments were made using a questionnaire with visual analogue scales for subjective rating of symptoms and the EuroQoL (EQ-5D), a generic state of health measure. Wilcoxon Signed Ranks tests showed statistically significant improvements in psychological and physical functioning, with positive effects on quality of life. The most pronounced improvements were seen in ratings for stress and relaxation, severe pain/discomfort, and depression/anxiety, particularly in those with the most severe symptoms on entry. The study found no adverse effects resulting from the treatment. These findings indicate that healing is a safe and effective adjunct to conventional medical treatment with the potential to ameliorate some of the more stressful aspects of cancer, including those inherent in current cancer treatment strategies. Rigorous evaluation of this modality by prospective, randomised, controlled trial is strongly warranted, as are investigations into its potential for use in palliative care.     

婴儿抚触后延续效应的研究

目的探讨婴儿抚触停止后3个月内各项生长指标的延续效应。方法选择360例婴儿随机分成2组抚触组与对照组。给抚触组婴儿从出生后1d～3个月进行抚触,抚触停止后观察2组婴儿在3、4、6个月内各项生长指标,并做组间比较。结果抚触组婴儿的睡眠状况、免疫功能、运动功能均优于对照组;2组婴儿体重、身长、头围差异有显著性(P<0.05)。结论抚触能促进婴儿的生长发育,提高人口素质,抚触停止后仍有良好的延续效应,为人生打下良好的基础。     

有效抚触对新生儿体重的影响

目的 :评价有效抚触对新生儿体重的影响。方法 :随机将 6 0例正常足月且评分在 8分以上的新生儿分成两组 ,实验组通过指导母亲抚触达到有效要求 ,对照组采用常规护理。结果 :实验组新生儿体重与对照组差异有显著性 (P <0 0 5 )。结论 :有效抚触可明显增加新生儿体重。     

The impact of continuous blood glucose monitoring on glucose stability in the preterm infant; A systematic review

IntroductionThere has been no systematic review completed to examine if continuous glucose monitoring (CGM) impacts on glucose stability in the preterm infant. This systematic review aims to establish the impact of CGM on the glucose stability of the preterm infant.MethodsDatabases were systematically searched (September 2018–January 2019) using search terms. Studies were chosen based on inclusion/exclusion criteria. Data extraction/quality appraisal and risk of bias assessment was conducted. Data was narratively analysed.ResultsEight studies showed that CGM has a positive impact on glucose stability in the preterm infant. CGM leads to a reduction of time spent in dysglycemia. CGM leads to a reduction in painful procedures and can improve neurological outcomes. There needs to be appropriate/timely monitoring systems to identify fluctuations in blood glucose levels of the preterm infant.ConclusionsFurther research is required before CGM can be introduced into the routine care of the preterm infant.