摘要目的：探讨母婴床旁护理对新生儿早期发育及产妇抑郁焦虑、泌乳量的影响。方法选择2013年1月至2015年6月收治的足月健康新生儿及产妇120例，随机分为对照组和观察组，各60例。两组新生儿及产妇均给予常规护理包括新生儿脐部护理和臀部护理，产妇护理包括外阴或腹部刀口换药，新生儿均常规接种疫苗，对照组采用将新生儿抱到公共婴儿沐浴室进行集中沐浴。观察组在此基础上实施母婴床旁护理方式，在床旁为新生儿沐浴并进行抚触，每天带新生儿进行游泳。采用焦虑评分（SAS）量表及抑郁评分（SDS）量表对两组产妇护理前后抑郁及焦虑状态进行评价，观察两组产妇不同时间泌乳量变化，测定新生儿神经测定评分（NBNA）及身高、体质量指数、头围的增长情况。结果护理后，两组产妇 SAS 及 SDS 评分较护理前均有所下降，且观察组患者 SAS 及 SDS 评分下降程度高于对照组，差异均有统计学意义（t ＝3．46、4．21，均 P ＜0．05）。护理后两组产妇泌乳量开始增长，观察组产妇泌乳量增长情况始终优于对照组，差异均有统计学意义（χ2＝9．34、4．53，χ2＝6．79，均 P ＜0．05）．观察组新生儿的 NBNA 评分、头围、身高、提质量指数的增长均优于对照组，差异均有统计学意义（t ＝1．98、1．65、2．73、3．63，均 P ＜0．05）。结论母婴床旁护理可显著改善产妇抑郁焦虑评分，增加产妇泌乳量，并在新生儿早期发育中具有一定促进作用，因此值得临床推广应用。

abstractsObjective To investigate the influence of maternal and child care bedside on early development of newborns and maternal depression and anxiety,lactation.Methods From January 2013 to June 2015,120 cases of healthy full -term newborns and maternal admitted in our hospital were randomly divided into control group and observation group,60 cases in each group.The two groups of newborns and mothers were given routine care,including care and neonatal umbilical buttocks care,maternity care,including genital or abdominal incision dressing,newborns were routinely vaccinated.In the control group,the newborns were taken to a public bath chamber concentrated bath. The observation group was implemented maternal and child care bedside manner Based on this,at the bedside of the newborn bathing and massage,swimming daily with newborns.Anxiety score (SAS)and depression scale score (SDS)for depression and anxiety were evaluated before and after the two groups of mothers nursing,and maternal milk yield variation were observed at different time,measured neonatal neurological assessment score (NBNA)and height,body mass index,head circumference growth.Results After treatment,the SAS and SDS scores of mothers of the two groups were decreased compared with before treatment,which in the observation group decreased more significantly, the differences were statistically significant (t =3.46,4.21,all P <0.05).After care,the maternal milk productions of the two groups started to grow,which of the observation group were always increased better than the control group, the differences were statistically significant (χ2 =9.34,4.53,6.79,all P <0.05).The newborn NBNA scores,head circumference,height,improvement in the quality index of growth in the observer group were better than the control group,the differences were statistically significant (t =1.98,1.65,2.73,3.63,all P <0.05).Conclusion Maternal and child bedside care can significantly improve maternal depression and anxiety scores,increase maternal lactation,&nbsp;and has a certain role in promoting early neonatal development,it is worth clinical application.