抚触对巨大儿睡眠及智能发育的影响

目的:观察抚触对巨大儿睡眠及智能发育的影响。方法:将89例足月剖宫产出生的巨大儿随机分为抚触组(44例)与对照组(45例)。抚触组每天用国际标准法抚触2次,每次15~20 m in,持续3个月以上;对照组常规护理,不进行抚触。观察42 d、3个月、6个月巨大儿睡眠状态。1岁时用SM社会适应能力量表对两组巨大儿的智能发育进行测定。结果:抚触组42 d、3个月平均每日睡眠总时间多于对照组,建立规律睡眠时间早于对照组,抚触组智能发育得分优于对照组,两组有显著性差异(P<0.05)。结论:抚触有助于提高巨大儿睡眠质量,并能较早建立规律睡眠时间,对巨大儿智能发育有良好的促进作用,有利于巨大儿的生长发育。

Study on effect of touch on sleeping and psychological development in macrosomia

Objective:To observe the influence of touch on sleeping and psychological development in macrosomia.Methods:89 macrosomias of full term cesarean section were randomly divided into experiment group(44 cases,given touch at least 3 months with twice a day and 15~20 minutes each time) and control group(45 cases received conventional care).Macrosomia's sleeping pattern was observed for 42 days,3 months,and 6 months respectively.Their psychological development status at 1 year old for both groups were evaluated by SM social living ability form.Results:The average duration of macrosomias daily sleeping in experiment group increased dramatically after 42 days and 3 months.Touch also led to an earlier establishment of regular sleeping pattern,and score of psychological development of experiment group was significantly higher than that of control group(P<0.05).Conclusion:Touch is favorable for the improvement of macrosomias quality sleeping,an earlier establishment of regular sleeping time,and it is also useful for macrosomia's psychological development.Touch may help the improvement of macrosomias growth and development.