穴位推拿联合抚触防治新生儿黄疸临床研究  

Clinical Study on Point Tuina Combined with Touch in Preventing and Treating Neonatal Jaundice

作　　者：徐丹军 王爱兰 蒋苏月 XU Danjun;WANG Ailan;JIANG Suyue

机构地区：[1]杭州市富阳区妇幼保健院,浙江杭州311400

出　　处：《新中医》2020年第15期148-150,共3页New Chinese Medicine

基　　金：杭州市富阳区科技计划项目(20171226Y183)。

摘　　要：目的:观察穴位推拿联合抚触防治新生儿黄疸的临床疗效。方法:选取在本院足月正常分娩的新生儿300例,随机分为抚触组与联合组各150例。从新生儿出生沐浴后抚触组给予常规抚触干预,联合组给予抚触联合穴位推拿。比较2组新生儿胎便首次转黄时间、首次排便时间与睡眠时间;并检测新生儿护理前后经皮测黄疸指数与血清胆红素;比较2组新生儿因黄疸转儿科治疗住院率。结果:治疗后,联合组新生儿胎便首次转黄时间、首次排便时间短于抚触组,睡眠时间长于抚触组,差异有统计学意义(P<0.05)。治疗后,2组黄疸指数、血清胆红素水平均较治疗前明显下降(P<0.05),且联合组黄疸指数、血清胆红素水平明显低于抚触组(P<0.05)。因黄疸转儿科住院率联合组为3.33%,抚触组为13.33%,2组比较,差异有统计学意义(P<0.05)。结论:与常规抚触干预比较,联合穴位推拿更有利于新生儿黄疸的恢复,其可明显降低黄疸指数、胆红素含量,降低住院率。Objective:To observe the clinical effect of point Tuina combined with touch in preventing and treating neonatal jaundice.Methods:A total of 300 cases of neonates in full term and with normal labor were selected in our hospital and divided into the touch group and the combination group,150 cases in each group.The touch group was given routine touch intervention after neonates were born and given a bath,and the combination group was given touch combined with point Tuina.The first time of meconium yellowing,the first time of defecation and the sleep time were compared between the two groups;neonatal transcutaneous jaundice indexes and levels of bilirubin in serum before and after nursing were detected;the hospitalization rate of neonates’transfer to department of pediatrics for treatment because of jaundice was compared between the two groups.Results:After treatment,the first time of meconium yellowing and the first time of defecation in the combination group were significantly shorter than those in the touch group,and the sleep time longer than that in the touch group,the difference being significant(P<0.05).After treatment,jaundice indexes and levels of bilirubin in serum in the two groups were significantly decreased when compared with those before treatment(P<0.05),and the jaundice index and the level of bilirubin in serum in the combination group were significantly lower than those in the touch group(P<0.05).The hospitalization rate of transfer to department of pediatrics because of jaundice was 3.33%in the combination group and13.33%in the touch group,the difference being significant(P<0.05).Conclusion:When compared with routine touch intervention,the combined point Tuina is more conducive to the recovery of neonatal jaundice,which can significantly decrease the jaundice index and bilirubin content,and reduce the hospitalization rate.

关 键 词：新生儿黄疸 抚触 穴位推拿 黄疸指数 胆红素 

分 类 号：R722.17[医药卫生—儿科]