不同时间抚触对新生儿睡眠及体格发育的影响

目的：观察沐浴后不同时间抚触对正常新生儿睡眠及体格发育的影响。方法：根据母乳在新生儿胃内排空的时间,将120例纯母乳喂养的足月正常新生儿随机分为沐浴后立即抚触组（I组）,沐浴后2～3 h抚触组（Ⅱ组）,沐浴后3～4 h抚触组（Ⅲ组）,每组40例。三组均按新生儿常规护理,出生后24 h进行全身抚触,15 m in次/,每天1次,直至28 d。结果：三组新生儿出生后3 d体重、身长、头围及睡眠指标比较,差异无显著性意义（均P〉0.05）;Ⅲ组新生儿28 d体重、身长、头围较I组、Ⅱ组增长快（均P〈0.05）;Ⅲ组新生儿也较I组、Ⅱ组新生儿安静,睡眠时间长,睡眠-觉醒节律形成早（均P〈0.05）。结论：最佳时间抚触有助于提高新生儿睡眠质量,较早地建立睡眠-觉醒节律,有利于新生儿生长发育,为婴幼儿期抚触奠定了基础。

The effect of of asynchronous massage for Infants growth and sleep.

Objective ：To research the effect of asynchronous massage for infants growth. Methods ： 120 cases of health infants, were randomly divided into three average groups by immediate massage （Ⅰ group）, massage in 2 -3 hours （ Ⅱ group） and 3 -4 hours （ Ⅲ group） after shower bath, underwent massage with the standard manipulation technique. As follow, every day, fifteen minutes once, form the second day to the 28th day. Results：In three days after birth, there were no significant difference in weight, body height, sleeping time and head circumference among the three groups （P 〉 0.05）. However, 28 days later, I group grow significant better than the others in weight, body height and head circumference（ P 〈 0.05 ）, and also got longer sleeping time and more early rhythm of sleep - awakening（ P 〈 0.05）. Conclusion ： Optimal massage can improve infant＇ s sleep and got early rhythm of sleep - awakening, and benefit the newborns growth and development as well .