中文摘要：

目的研究音乐配合先俯后仰位对新生儿抚触的舒适度与临床效果。方法选择20l6年1-6月在本院产科出生的120例新生儿，按出生顺序将符合准入标准的新生儿随机分为改良组与传统组各60例。传统组采用常规护理和标准体位抚触先仰后俯位；改良组在常规护理基础上采用音乐配合先俯后仰位抚触，比较两组新生儿抚触第1天、第2天、第3天、第4天的舒适度和抚触效果。结果改良组抚触第1天的哭闹率明显低于传统组（P〈0．01），两组抚触第2天、第3天、第4天的哭闹率比较差异无统计学意义（P〉0．05）。首次排眙便时间与胎便转黄时间改良组均早于传统组．抚触第4天改良组的经皮黄疸指数（TCB）平均高值与低值、高胆红素症发生率均低于传统组（P〈0．01）。结论采用音乐配合先俯后仰位扰触，新生儿第1天抚触的哭闹率更低，舒适度更佳，新生儿更容易接受抚触，从而提高了抚触护理在新生儿高胆红素血症的预防效果，本研究方法成本低、操作简单．值得在临床上推广和应用。

英文摘要：

Objective To study on the touch comfort and clinical effect of the music combined with the first prone position and second supine position for neonate. Method 120 cases of newborns born from Jan to Jun 2016 in our hospital and meet the admission criteria, according to the birth order, were randomly divided into the improvement group and the control group, each group of 60 cases, patients in control group was treated with routine nursing and standard posture touch; On the basis of routine nursing, the improvement group used music combined the first down and back touch. The touch effect of comfort and touch effect for two groups of newborns in the first day, second days, third days, fourth days was measured and compared. Results The crying rate of the improvement group was significantly lower than that of the control group （P〈0.01） for the first time in first days. There was no significant difference between the two groups on the second day, the third day and the fourth day crying rate （P〉0.05）. The time of first meconium discharge and the conversion time of meconium to yellow in improvement group was earlier than that of the conventional group. The average high value and low value of TCB, incidence of hyperhilirubinemia in the fourth day in improvement group was lower than that of the control group（P〈0.01）. Good effect Has a chieved. Conclusion Through music combined with the first prone position and second supine position touch, The first day of newborn baby＇s crying rate is lower and the comfort is better. Newborns are more receptive to touch, so as to improve the prevention effect of hyperbilirubinemia by touch nursing in neonatal. This method is low cost, simple operation, worthy of promotion and application in clinical practice.