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Abstract：
Objective: To examine the effects of hydrokinesiotherapy in a bucket on physiological parameters and clinical outcomes of hospitalized preterm newborns. Methods: In this randomized controlled trial, 34 preterm newborns with low birth weight were randomly allocated into experimental (EG) or control (CG) groups and were assessed four times on two alternate days: pre-intervention, post-intervention, 15 min after the intervention, 30 min after post-intervention. On both days, between pre-and post-intervention, the EG underwent hydrokinesiotherapy in a bucket for 10 min and the CG only had the diaper changed. Physiological parameters and body weight gain were considered primary outcomes. Behavioral state and degree of respiratory distress were secondary outcomes. Results: Newborns in the EG presented transitory changes in heart and respiratory rates after the intervention. Oxygen saturation was higher in the EG compared to the CG at post-intervention and up to at least 15 min after post-intervention on both days. The EG was in a more active state than the CG at post-intervention on both days. These changes occurred within normal ranges. Body temperature, degree of respiratory distress, and body weight gain did not differ between groups. Conclusion: The hydrokinesiotherapy caused isolated changes in the physiological parameters and led to a more active behavioral state in hospitalized preterm newborns with low birth weight. These changes did not affect the newborns\' clinical conditions. The technique was safe, but clinical outcomes, including body weight gain, were not improved.
摘要：
目的：研究桶中的液体运动疗法对住院早产儿的生理参数和临床结局的影响。方法：在这项随机对照试验中，将34名低出生体重的早产新生儿随机分为实验组（EG）或对照组（CG），并每隔两天进行四次评估：干预前，干预后,干预后15分钟，干预后30分钟。在这两天，在干预前后，EG在桶中接受了10分钟的流体力学疗法，CG仅更换了尿布。生理参数和体重增加被认为是主要结果。行为状态和呼吸窘迫程度是次要结果。结果：EG中的新生儿在干预后出现了短暂的心脏和呼吸频率变化。干预后EG的氧饱和度高于CG，干预后两天至少15分钟。干预后两天EG都比CG更活跃。这些变化发生在正常范围内。体温,呼吸窘迫的程度，两组之间的体重增加没有差异。结论：在低出生体重的住院早产儿中，水运动疗法引起了生理参数的孤立变化，并导致了更活跃的行为状态。这些变化并不影响新生儿的临床状况。技术是安全的,但是临床结果，包括体重增加,没有改善。
