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目的 了解和证实按摩治疗对早产儿生长发育的促进作用 ,并探讨其作用机制。方法 收集病情平稳的住院早产儿 43例 ,随机分为按摩组及对照组 ,观察其体重增长及按摩前后血胃泌素 (GAS)、胰岛素 (INS)及生长抑素 (SS)水平变化 ,采用放射免疫学方法测定。结果 ①在两组早产儿平均摄入容量及热卡等均无明显差异的情况下 ,按摩组的平均体重增长 (2 1 8g/d)明显高于对照组 (16 9g/d) (P <0 0 1) ;②按摩可使血清GAS及INS水平明显升高 ,(P均<0 0 5 )。③按摩前后GAS及INS水平变化具有正向相关性 (Rs=0 479,P<0 0 5 )。结论 按摩治疗明显有助于早产儿体重增长及GAS和INS水平的升高 ,因此 ,按摩作为早产儿临床的常规治疗是一项值得推广应用的方法
Objective To understand and confirm the effect of massage therapy on the growth and development of premature infants and to explore its mechanism. Methods Forty-three hospitalized preterm infants with stable disease were randomly divided into massage group and control group. The changes of GAS, INS and somatostatin (SS) levels before and after weight gain were observed. Radioimmunoassay method. Results ① The mean weight gain (2 1 8g / d) of the massage group was significantly higher than that of the control group (16 9g / d) (P < 0 0 1). ② The levels of GAS and INS in serum increased significantly (P <0.05). ③ There was a positive correlation between the level of GAS and INS before and after massage (Rs = 0 479, P <0 05). Conclusion Massage therapy is obviously helpful for the weight gain of premature infants and the increase of GAS and INS levels. Therefore, massage as a routine treatment of premature infants is a worthy method of promotion