中医五行音乐疗法对早产儿体格及行为神经发育的影响

目的:观察中医五行音乐疗法对早产儿体格及行为神经发育的影响。方法:选取346例早产儿,按随机数字表法分为研究组和对照组,每组173例。对照组播放莫扎特《D大调双钢琴奏鸣曲第一乐章》,研究组播放中国传统五行音乐(正调式),每天2次,每次20 min,2组均连续治疗14 d。治疗后比较2组身高、体质量及头围增长量,根据新生儿20项行为神经测定(NBNA)评分表评估2组行为神经发育情况,记录2组听力障碍发生率。结果:治疗后,研究组身高、体质量及头围增长量均大于对照组(P<0.01);研究组行为能力、主动肌张力、被动肌张力、原始反射、一般情况评分及NBNA总分均高于对照组(P<0.01)。治疗期间,2组均未出现听力障碍。结论:中医五行音乐疗法能促进早产儿体格及行为神经发育,且安全性较好。

Effect of Five- Element Music Therapy of Chinese Medicine on Growth of Physique and Behavioral Nerve of Premature Infant

Objective:To observe the effect of five-element music therapy of Chinese medicine on growth of physique and behavioral nerve of premature infant. Methods:A total of 346 cases of premature infants were selected and divided into the study group and the control group according to the random number table method, 173 cases in each group. The first movement of Sonata for Two Pianos in D major of Mozart was played in the control group,and the five-element music of Chinese medicine(authentic mode) was played in the study group. The music was played twice a day,20 min each time,for continuous 14 days. After treatment,the growth of height,body mass and head circumference were compared between the two groups. The behavioral neural development in the two groups was evaluated by neonatal behavioral neurological assessment(NBNA). The incidence of hearing impairment was recorded. Results: After treatment, the growth of height,body mass,and head circumference in the study group were greater than those in the control group(P<0.01);the scores of behavioral ability,active muscle tension,passive muscle tension,primitive reflexes and general condition,as well as NBNA total scores in the study group were all higher than those in the control group(P<0.01). During treatment, no hearing impairment happened in both groups. Conclusion: The five-element music therapy of Chinese medicine can promote the growth of physique and behavioral nerve,with good safety.