摘要
目的:评价小儿推拿干预早产儿神经心理发育的有效性和安全性。方法:计算机检索Cochrane Library、pubmed、中国知网、万方、维普数据库,收集小儿推拿干预早产儿的RCT,检索时间自建库至2017年8月16日。2名评价员独立进行文献检索、筛选、方法学质量评价,采用RevMan5.3进行Meta分析。结果:①在促进早产儿大运动、精细运动、社交行为方面,小儿推拿+常规治疗优于常规治疗,差异具有统计学意义(P<0.05)。②小儿推拿与抚触在促进早产儿神经心理发育方面,效用相当,差异无统计学意义(P>0.05)。③小儿推拿+常规治疗与常规治疗比较,在胆红素水平、呼吸暂停次数、睡眠时长方面,差异具有统计学意义(P<0.05)。6篇文献中,未见不良事件报道。结论:①小儿推拿结合常规治疗能够促进早产儿的神经心理发育,且与抚触结合常规治疗的效用相当。②小儿推拿结合常规治疗能够对早产儿胆红素、呼吸及睡眠产生积极的效果,对神经心理的发育起到积极的作用。③高质量的RCT研究有待进一步实施。
Objective:To evaluate the efficiency and safety of pediatric tuina on neuropsychologic development of preterm infants.Methods:Cochrane Library,pubMed,CNKI,WANFANG and VIp database were searched,clinical randomized controlled trials of pediatric tuina on preterm infants were collected from establishment to August 16,2017.2 reaseachers operated literature retrieval,screening and quality evaluation independently.RevMan5.3 was used to data analysis.Results:①pediatric tuina+routine treatment is better than routine treatment in gross motor,fine motor and social behavior,the difference is statistically significant.(P<0.05).②pediatric tuina and gentle touch show no significant difference(P>0.05).③pediatric tuina+routine treatment is better than routine treatment in bilirubin level,the number of pauses in breathing,and sleep.No adverse events reported in 6 researches.Conclusion:①pediatric tuina combined with routine treatment are good for neuropsychologic development,effects are equal to gentle touch.②pediatric tuina combined with routine treatment are good for bilirubin,breathing and sleep.③However,high quality randomized controlled trials are still needed.
作者
李倩
张星贺
宋咏丽
刘润峰
王钧曜
井夫杰
LI Qian;ZHANG Xinghe;SONG Yongli(Acupuncture and Tuina Institute of Shandong University of Traditional Chinese Medicine,Jinan 250014)
出处
《陕西中医》
2019年第7期972-975,984,共5页
Shaanxi Journal of Traditional Chinese Medicine
基金
山东省科技发展计划项目(2013G0021807)
关键词
小儿推拿
早产儿
神经心理
系统评价
Pediatric tuina
Preterm infants
Neuropsychologic development
Systematic review
