NEONATAL SUCKING AS A CLINICAL ASSESSMENT TOOL

临床证据清楚地表明，一些早产儿 不管是健康的还是生病的，生理上的压力都更大 处理方式比其他相同胎龄的人要好。年龄独自一人 并不是照顾这些脆弱婴儿的充分标准 可以是基于。然而，有不少可靠和有效 评估工具，可用于计划适当的护理。这个 该项目的目的是开发一种临床上有用的 详细描述婴儿某一方面的评估工具 行为，有营养的吮吸，这可以作为一个指标 足月和早产儿的神经行为完整性。这个 具体目标是：1)建立规范的数据库；2)审查 胎龄与吸吮方式改变的关系；3) 检查心血管参数与冠心病的关系 行为状态，神经行为的同时测量 组织，以有营养的吮吸；以及4)调查 早产儿营养性吸吮相关的生理性应激 婴儿。样本将包括300名足月和早产儿。 测量时的后概念年龄范围为 32到40多周。数据收集工具包括克朗 营养吸入器，Nellcor脉搏血氧仪，Dinamapp血液 压力监测器和安德森行为状态量表。婴儿 在整个学期中，托儿所将有5分钟的吸吮测量 在生命的第一天和第二天完成。早产儿 在中级托儿所，每周有一次哺乳 测量时间为32-33周，直到出院。 心血管测量和行为状态将被测量 同时。数据分析将包括方法、标准 方差、均数标准误差、t检验、单因素方差和 重复测量的方差分析。预计这将是 调查将(A)为临床医生提供一种评估手段 通过吸吮行为的神经行为发育；(B)供应 关于吸吮成熟变化的临床有用信息 早产儿的模式；和(C)提供有关 心血管参数和行为状态与高血压病关系的研究 有营养的吸吮。这项研究将导致 一种评估神经行为的临床有用工具 新生儿期的状况。

Clinical evidence indicates clearly that some preterm infants whether healthy or ill, are more physiologically stressed by handling than are others of the same gestational age. Age alone is not a sufficient criteria on which care to these fragile infants can be based. However, there are not few reliable and valid assessment tools which can be used to plan appropriate care. The purpose of this project is to develop a clinically useful assessment tool by characterizing in detail one facet of infant behavior, nutritive sucking, which can serve as an index of neurobehavioral integrity in the full term and preterm infant. The specific aims are: 1) develope normative data base; 2) examine the relationship of gestational age to changes in sucking patterns; 3) examine the relationship of cardiovascular parameters and behavioral state, concurrent measures of neurobehavioral organization, to nutritive sucking; and 4) investigate the physiologic stress associated with nutritive sucking in preterm infants. The sample will include 300 full term and preterm infants with post-conceptual ages at the time of measurement ranging from 32 to 40+ weeks. The data collections instruments include the Kron Nutritive Sucking Apparatus, Nellcor pulse oximeter, Dinamapp blood pressure monitor, and the Anderson Behavioral State Scale. Infants in the full term nursery will have a 5 minute sucking measurement completed on the first and second days of life. Preterm infants in the intermediate care nursery will have weekly sucking measurement from 32-33 weeks until hospital discharge. Cardiovascular measurements and behavioral state will be measured concurrently. Data analysis will include means, standard deviations, standard error of the means, t-tests, MANOVAs and ANOVAs with repeated measures. It is anticipated that this investigation will (a) provide clinicians with a means of assessing neurobehavioral development through sucking behaviors; (b) supply clinically useful information on maturational changes of sucking patterns in preterm infants; and (c) provide new information on the relationship of cardiovascular parameters and behavioral state with nutritive sucking. This research will lead to the development of a clinically useful tool for the assessment of neurobehavioral status in the neonatal period.