康复干预措施联合枯草杆菌二联活菌颗粒对早产儿黄疸及早期生长发育的影响  

Effects of rehabilitation interventions combined with bacillus subtilis ioint viable granules on jaundice and early growth and development in premature infants

作　　者：张燕芬[1] 黄静[1] 杜晓贞 蒋慧玲[1] 高丽娟[1] ZHANG Yanfen;HUANG Jing;DU Xiaozhen;JIANG Huiling;GAO Lijuan(Department of Pediatrics,Lishui City Central Hospital in Zhejiang Province,Lishui 323000,China)

机构地区：[1]浙江省丽水市中心医院儿科,浙江丽水323000

出　　处：《中国现代医生》2020年第11期61-64,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2016KYA202);浙江省丽水市科技计划项目(2015sjzc39)。

摘　　要：目的探讨康复干预措施联合枯草杆菌二联活菌颗粒对早产儿黄疸及早期生长发育的影响。方法选取2015年1月~2018年12月我院妇产科出生的早产儿80例,随机分为干预组和对照组各40例。两组早产儿出生后早期予以母乳、奶瓶、胃管或滴管喂养,营养不足部分通过静脉补液供给,并予以常规育儿指导及定期体检干预。对照组在此基础上加枯草杆菌二联活菌颗粒。干预组早产儿在对照组基础上再予以康复干预措施。观察两组早产儿胆红素的峰值、黄疸持续时间、胎便排空时间及大便频率,并在纠正胎龄40周时比较两组早产儿腹围、体重、头围和身长等指标。结果干预组早产儿胆红素峰值、黄疸持续时间和胎便排空时间少于对照组,干预组早产儿大便频率多于对照组(P<0.05)。纠正胎龄40周时,干预组早产儿腹围和体重明显高于对照组(P<0.05),两组早产儿头围和身长比较,差异无统计学意义(P>0.05)。结论康复干预措施联合枯草杆菌二联活菌颗粒不仅可降低早产儿血胆红素水平,缩短黄疸持续时间,加快胎粪排泄,而且能增加腹围和体重,促进早产儿的生长发育。Objective To investigate the effects of rehabilitation interventions combined with bacillus subtilis joint viable granules on jaundice and early growth and development in premature infants.Methods 80 premature infants born in the department of obstetrics and gynaecology in our hospital from January 2015 to December 2018 were selected and randomly divided into intervention group and control group,with 40 cases in each group.Two groups of premature infants were fed with breast milk,milk bottle,stomach tube or dropper at the early stage after birth.Intravenous rehydration was given for insufficient nutrition.Regular parenting guidance and regular physical examination interventions were routinely administered.On the basis of this,the control group was further given bacillus subtilis joint viable granules.The intervention group was further given rehabilitation interventions on the basis of the control group.The peak of bilirubin,the duration of jaundice,the time of emptying of feces and the frequency of defecation were observed in the two groups of premature infants.The indices of abdominal circumference,body weight,head circumference and body length of premature infants in the two groups were compared at 40 weeks of correction of gestational age.Results The peak of bilirubin,the duration of jaundice and the emptying time of feces in the premature infants in the intervention group were less than those in the control group.The frequency of defecation in the intervention group was higher than that in the control group(P<0.05).At 40 weeks of correction of gestational age,the abdominal circumference and body weight of the premature infants in the intervention group were significantly higher than those in the control group(P<0.05).There was no statistically significant difference in head circumference and body length between the two groups(P>0.05).Conclusion Rehabilitation interventions combined with bacillus subtilis joint viable granules can not only reduce blood bilirubin levels in premature infants,shorten the duration

关 键 词：早产儿 枯草杆菌二联活菌颗粒 康复干预 黄疸 生长发育 

分 类 号：R722.1[医药卫生—儿科]