Effect of therapeutic touch on brain activation of preterm infants in response to sensory punctate stimulus: a near-infrared spectroscopy-based study
Effect of therapeutic touch on brain activation of preterm infants in response to sensory punctate stimulus: a near-infrared spectroscopy-based study
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治疗性触摸对早产儿响应感觉点状刺激的大脑激活的影响：一项基于近红外光谱的研究
DOI：
10.1136/archdischild-2011-301469
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Kanji Fukuda
中科院分区：
文献类型：
--
作者：
Noritsugu Honda;S. Ohgi;N. Wada;K. Loo;Yuji Higashimoto;Kanji Fukuda
目的通过近红外光谱分析，探讨治疗性抚触能否改善早产儿的感觉点状刺激反应。方法研究对象为矫正年龄34~40 的早产儿10例。由新生儿发育专家护士记录1 S在低强度感觉点状刺激时的氧合血红蛋白浓度、心率、动脉血氧饱和度和身体活动情况。每次刺激后静息30 的S。所有的测量都是在婴儿卧位入睡的情况下进行的。结果感觉点状刺激可显著增加OXY-Hb浓度，但对HR、SaO2和身体运动无明显影响。接受治疗性触摸的婴儿随着时间的推移，氧合-Hb浓度显著降低。结论治疗性抚触可改善早产儿的感觉点状刺激反应，表现为脑氧合功能增强。因此，治疗性触摸对新生儿感觉点状刺激时脑血流的自动调节可能具有保护作用。
Objective The purpose of this study was to determine whether therapeutic touch in preterm infants can ameliorate their sensory punctate stimulus response in terms of brain activation measured by near-infrared spectroscopy. Methods The study included 10 preterm infants at 34–40 weeks’ corrected age. Oxyhaemoglobin (Oxy-Hb) concentration, heart rate (HR), arterial oxygen saturation (SaO2) and body movements were recorded during low-intensity sensory punctate stimulation for 1 s with and without therapeutic touch by a neonatal development specialist nurse. Each stimulation was followed by a resting phase of 30 s. All measurements were performed with the infants asleep in the prone position. Results sensory punctate stimulus exposure significantly increased the oxy-Hb concentration but did not affect HR, SaO2 and body movements. The infants receiving therapeutic touch had significantly decreased oxy-Hb concentrations over time. Conclusions Therapeutic touch in preterm infants can ameliorate their sensory punctate stimulus response in terms of brain activation, indicated by increased cerebral oxygenation. Therefore, therapeutic touch may have a protective effect on the autoregulation of cerebral blood flow during sensory punctate stimulus in neonates.
新生儿重症监护室的疼痛治疗。
影响因子：
2.6
作者：
Stevens,B;Gibbins,S;Franck,LS
通讯作者：
Franck,LS
影响因子：
3
作者：
Grunau, Ruth E.;Holsti, Liisa;Peters, Jeroen W. B.
通讯作者：
Peters, Jeroen W. B.