按摩灌肠对早产儿黄疸的影响  

Influence of Massage and Coloclysis on Jaundice in Preterm Infant

作　　者：郭娟[1] 文永健[1] 祝玉兰[1] 文晓华[1] 

机构地区：[1]中南大学湘雅医学院益阳临床学院,湖南益阳413000

出　　处：《中国现代医生》2009年第16期10-11,35,共3页China Modern Doctor

摘　　要：目的探讨按摩灌肠对早产儿黄疸的影响。方法将160例早产儿随机分为按摩灌肠组、单纯按摩组、灌肠组和对照组各40例。对照组给予常规治疗护理,按摩灌肠组、单纯按摩组和灌肠组在此基础上早期分别给予按摩灌肠、单纯按摩和单纯灌肠,连续2w后评价效果。结果按摩灌肠组早产儿的黄疸持续天数、光疗天数明显少于对照组、按摩组和灌肠组,差异有统计学意义(P<0.01)。按摩灌肠组第14天TCB值明显低于对照组、按摩组和灌肠组,差异有统计学意义(均P<0.01)。按摩灌肠组病理性黄疸发生率明显低于对照组,而2w内黄疸消退率明显高于对照组和按摩组,差异有统计学意义(P<0.01)。结论按摩灌肠有助于早产儿出生后黄疸尽早消退,减轻黄疸程度,降低病理性黄疸的发生率。Objective To explore the impact of masssage and coloclysis on jaundice in preterm infant. Methods A total of 160 premature infants were randomly divided into the massage＆coloclysis,single massage and coloelysis and control group each comprising 40 cases. The control group received routine therapy and nursing,while the other 3 groups received massage＆coloclysis,single massage and eoloclysis in addtion,for 3 consecutive weeks. And the effectiveness was assessed. Results The time for jaundice lasting and phototherapy were markedly shortened in massage＆coloclysis group as compared with the other 3 groups（P〈0.01）. And the value on day 14 was the same,the incidence rate for pathological jaundice was much lower,and the jaundice regression much higher with 2 weeks （P〈0.01）. Conclusion Massage＆coloclysis can assist in regressing the jaundinee, relieving the severity and reducing the incidence rate for jaundice after birth in preterm infants.

关 键 词：早产儿 黄疸 按摩 灌肠 

分 类 号：R722.17[医药卫生—儿科]