多感官刺激在促进早产儿睡眠及神经行为成熟中的应用
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键词多感官刺激;早产儿;睡眠质量;神经系统发育;神经评估;神经行为;睡眠时间;夜间觉醒次数
Application of Multisensory Stimulation in Promoting Sleep and Neurobehavioral Maturation in Preterm Infants
DANG Shuo，YE Shuqiong
（Xiamen Children's Hospital/Xiamen Branch of Children's Hospitalof Fudan University，Xiamen3610oo，China）
AbstractObjective：Toobserveandevauatetheefects ofmultisensorystimulation inpreterminfantsandtoassssitsinfluence onsleep statusandneurobehavior.Methods：Aprospectivestudywasconducted.Atotalof6Opreterminfantsadmited tothe Neonatal MedicalCenterof Xiamen Children's Hospital fromJune2024to June2O25 wereselectedasthestudysubjects.They wererandomlydivided intoacontrolgroupandanobservationgroupaccordingtotherandomnumbertable method，with3Ocases ineachgroup.Thecontrolgroupreceivedroutinenursingcare，whiletheobservation groupreceivedmultisensorystimulationintervention.The sleepconditions，nervoussystemdevelopment，andNeonatalBehavioraleurologicalAssessment（NBNA）scores were compared between the two groups.Results：After nursing intervention，theslep durationintheobservation group was loger thanthatinthecontrolgroup，thesleeplatencywasshorter，andthenumberof nocturnalawakeningswaslowerthanthosenthe control group（ P<0.05， ）. Before nursing intervention，there were no statistically significant differences in the nervous system development scores and NBNA scores between the two groups（ P>0.05 ）.After nursing intervention，the nervous system development scoresandNBNA scores inboth groups were significantlyimproved，andthevaluesofeach evaluationidex intheobservation group were higher than those in the control group（ P<0.05 ）. Conclusion： The application of a multisensory stimulation nursing modelduringthecareofpreterminfantshasdistinctadvantages.Itcanimprovesleepquality，promote nervoussystemdevelopment and neurobehavioral maturation，and has positive value for clinical promotion.
KeywordsMultisensorystimulation；Preterm infants；Slepquality；Nervoussystemdevelopment；Neurological assessment; Neurobehavior； Sleep duration； Nocturnal awakenings
中图分类号：R722.6;R338.63 文献标识码：A doi：10.3969/j.issn.2095 -7130.2025.12.052
据有关研究数据报道，全球范围内每年新增早产儿有1500万之多，因早产儿过早与母体脱离，子宫内感觉刺激时间相对较短，在住院治疗期间经历过多有害刺激，如噪声、强光等，影响身心发育[1-2]与足月儿比较，早产儿各系统发育不够完善，神经发育、睡眠架构提前中断，普遍存在睡眠问题，发生发育协调障碍、脑瘫等问题的风险性较高，为此还需綜合评估其睡眠情况，采取有效的护理措施促进生长发育，改善睡眠质量[34]。（剩余4882字）