光疗联合小儿推拿对新生儿高胆红素血症的影响  

Effect of phototherapy combined with pediatric massage on neonatal hyperbilirubinemia

作　　者：娄冉 陈清 黄克勤 王亭 钱拉拉 张红 LOU Ran;CHEN Qing;HUANG Keqin;WANG Ting;QIAN Lala;ZHANG Hong(Department of Acupuncture and Tuina,Wenzhou Central Hospital in Zhejiang Province,Wenzhou 325000,China)

机构地区：[1]浙江省温州市中心医院针灸推拿科,浙江温州325000

出　　处：《中国现代医生》2021年第29期142-144,148,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2018ZQ045)。

摘　　要：目的分析光疗联合小儿推拿对新生儿高胆红素血症临床疗效的影响。方法收集2018年1月至2019年12月温州市中心医院新生儿科入住的122例新生儿高胆红素血症患儿,按随机数字法分为对照组和研究组各61例,对照组采用蓝光照射治疗方案,研究组在蓝光照射治疗的基础上配合小儿推拿治疗。观察两组经皮胆红素值(TCB)、血清总胆红素值(TSB)及血清总蛋白、血清白蛋白(ALB)、血清总胆红素和白蛋白比值,记录住院时间。结果两组高胆红素血症患儿治疗前比较,差异无统计学意义(P>0.05),治疗后两组经皮胆红素值和血清总胆红素值均显著下降,与治疗前比较,差异有统计学意义(P<0.05),研究组住院期间经皮胆红素均值为(12.21±1.41)mg/dL,明显低于对照组的(12.84±1.22)mg/dL,差异有统计学意义(P<0.05),总住院时间为(3.54±1.27)d,也明显短于对照组的(4.10±1.27)d,差异有统计学意义(P<0.05)。两组间血清总蛋白值、血清白蛋白、血清总胆红素和白蛋白比值比较,差异无统计学意义(P>0.05)。结论光疗联合小儿推拿治疗新生儿黄疸具有更多优势,有较高的安全性,值得临床推广应用。Objective To analyze the clinical effect of phototherapy combined with pediatric massage on neonatal hyperbilirubinemia.Methods A total of 122 neonates with hyperbilirubinemia admitted to the Department of Neonatology in Wenzhou Central Hospital between January 2018 and December 2019 were collected and randomly divided into the control group and the study group,with 61 cases in each group.The control group was treated with blue light irradiation treatment.The study group was treated with pediatric massage treatment cooperated with blue light irradiation treatment.The values of transcutaneous bilirubin(TCB),total serum bilirubin(TSB),total serum protein,serum albumin(ALB),total serum bilirubin and albumin ratios were observed in the two groups,and the length of hospital stay was recorded.Results There was no significant difference between the two groups of children with hyperbilirubinemia before treatment(P>0.05).After treatment,the transcutaneous bilirubin value and serum total bilirubin value of the two groups decreased significantly,compared with that before treatment and the difference was statistically significant(P<0.05).The mean value of percutaneous bilirubin(12.21±1.41)mg/dL during hospitalization in the study group was significantly lower than that of the control group(12.84±1.22)mg/dL,the difference was statistically significant(P<0.05).The total hospital stay was(3.54±1.27)days,which was significantly shorter than that(4.10±1.27)days of the control group,the difference was statistically significant(P<0.05).There was no significant difference in total serum potein,serum albumin,total serum bilirubin,and albumin ratio between the two groups(P>0.05).Conclusion Phototherapy combined with pediatric massage for neonatal jaundice has more advantages and higher safety,and it is worthy of clinical application.

关 键 词：新生儿 高胆红素血症 小儿推拿 光疗 

分 类 号：R722.1[医药卫生—儿科]