单氏小儿推拿促进早产低体质量儿胎便排泄的临床观察  

Clinical observation of Shan＇s massage therapy in the promotion of meconium discharges in low birth weight premature infant

作　　者：刘邓浩[1] 李蔚江[2] 王铮[1] 胡雪峰[3] 曹晓雯[2] 戴丹[2] 严一成 韩虹宇 郑兰凤[4] 

机构地区：[1]上海市第一妇婴保健院中医科,200040 [2]上海中医药大学针推系 [3]上海市第一妇婴保健院新生儿科 [4]上海交通大学附属瑞金医院推拿科

出　　处：《中国生育健康杂志》2014年第1期26-29,共4页Chinese Journal of Reproductive Health

基　　金：上海市卫生局中医药科研基金青年项目（2008Q011L）

摘　　要：目的 观察单氏小儿推拿手法结合辨证经穴刺激对早产低体质量儿胎便排泄延迟的作用. 方法 选择早产低体质量儿60例,按随机化数字表法分为推拿组和常规治疗组,每组各30例.两组均给予常规早产儿护理,推拿组在此基础上采用单氏小儿推拿手法进行经穴刺激.比较两组早产儿的首次排胎粪时间、每日排便次数、胎便转黄时间等. 结果 推拿组首次排便时间、胎便转黄时间、每日排便次数、黄疸持续天数、接受光疗天数、喂养不耐受发生率和平均住院天数分别为（14.95±2.20）h、（51.63±6.12）h、（3.02±0.88）次、（5.20±2.73）d、（2.56±1.35）d、13.33％、（12.20±0.40）d,常规治疗组分别为（20.46±3.06）h、（59.37±8.66）h,（2.06±0.75）次、（9.06±4.55）d、（3.84±2.29）d、36.67％、（15.10±0.30）d,差异有统计学意义;两组经皮黄疸指数峰值比较,差异无统计学意义. 结论 对早产低体质量儿进行早期单氏小儿推拿干预,可以促进患儿胎便排出和辅助退黄,并且可以减少喂养不耐受的发生.Objective To exmine the effect of Shan＇s massage therapy in combination with syndrome differentia- tion acupuncture point stimulation on meconium discharges in low birth weight premature infants. Methods Sixty cases of premature infant with low birth weight admitted to our hospital from April 2010 to December 2011 were selected and were randomly assigned to massage group or conventional therapy group, with 30 cases in each. Routine preterm neonate nursing was used in the two groups. Shan＇ s massage therapy combined with syndrome differentiation acupuncture point stimulation was used in the massage group on the basis of routine preterm neonate nursing. The first meconium time, daily cacation fre- quency, meconium turning yellow time, percutaneous jaundice index, phototherapy time, jaundice days, premature infant feeding intolerance, and hospital stay were recorded and compared between the two groups. Results The first meconium time and meconium turning yellow time in the massage group [ （ 14. 95 ± 2. 20） h and （51.63 ± 6. 12） h, respectively] were shorter than those in the conventional therapy group [ （20. 46 ±3.06） h and （59. 37 ±8.66） h, respectively]. Jaun- dice days in the massage group and the Conventional therapy group were （5.20 ±2.73） days and （9. 06 ±4. 55） days, re- spectively. Phototherapy time in the massage group and the conventional therapy group were （2. 56 ± 1.35） days and （3. 84 ± 2. 29） days, respectively. The difference in pereutaneous jaundice index between the two groups was not statisti- cally significant. The incidence of feeding intolerance in the massage group （ 13.33 % ） was lower than that in the conven- tional therapy group （36. 67 % ）. The difference in hospital stay between the two groups was not statistically significant. Conclusion Early initiation of Shan＇ s massage therapy could promote meconium discharges to the low birth weight prema- ture infant and reduce high biliruhinemia and feeding intolerance.

关 键 词：小儿推拿 单养和 胎粪性便秘 新生儿黄疸 喂养不耐受 早产儿 

分 类 号：R512.5[医药卫生—内科学]