足三里穴位按摩联合腹部抚触对早产儿喂养耐受性的影响  

Clinical study of Zusanli acupoint massage combined with abdominal touching improving feeding tolerance of premature infants

作　　者：梁佩珊 林琨 Liang Peishan;Lin Kun(Department of Pediatrics,Wuming Hospital Affiliated to Guangxi Medical University,Nanning 530199,China)

机构地区：[1]广西医科大学附属武鸣医院儿科,南宁530199

出　　处：《国际中医中药杂志》2021年第11期1085-1088,共4页International Journal of Traditional Chinese Medicine

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z20180235)。

摘　　要：目的:探讨足三里穴位按摩联合腹部抚触对早产儿喂养不耐受(feeding intolerance,FI)的影响。方法:将符合入选标准的2018年1月-2020年6月本院100例早产儿采用随机数字表法分为2组,每组50例。对照组给予常规治疗及喂养,观察组在对照组基础上结合足三里穴位按摩和腹部抚触。均连续干预2周。比较2组早产儿喂养过渡时间、恢复出生体重时间和喂养效率,采用免疫比浊法检测血IgA、IgM、IgG水平,观察并记录FI及并发症发生情况。结果:观察组喂养过渡时间[(8.57±2.35)d比(11.60±4.38)d,t=4.310]、恢复出生体重时间[(9.11±1.79)d比(10.48±2.34)d,t=3.289]均早于对照组(P<0.01),喂养效率[(9.48±2.07)ml/min比(7.16±2.30)ml/min,t=5.302]高于对照组(P<0.01);观察组FI[14.0%(7/50)比42.0%(21/50),χ^(2)=9.722]及呼吸暂停发生率[12.0%(6/50)比32.0%(16/51),χ^(2)=5.828]均低于对照组(P<0.01)。结论:足三里穴位按摩联合腹部抚触有助于改善早产儿喂养耐受性,尽快恢复出生体重,达到全肠道喂养水平。Objective:To explore the effects of Zusanli acupoint massage combined with abdominal touching on feeding intolerance(FI)of premature infants.Methods:A total of 100 premature infants meeting the inclusion criteria in neonatal ward of the hospital from January 2018 to June 2020 were divided into control group(50 cases)and observation group(50 cases)by random number table method.The control group was given routine treatment and feeding,while observation group was given Zusanli acupoint massage and abdominal touching on the basis of control group.The feeding observation indexes,three immunoglobulin indexes,FI and complications were compared between the two groups.Results:The feeding transition time(8.57±2.35 d vs.11.60±4.38 d,t=4.310)and the time of returning to birth weight(9.11±1.79 d vs.10.48±2.34 d,t=3.289)in observation group were significantly shorter than those in control group(P<0.05),and feeding efficiency(9.48±2.07 ml/min vs.7.16±2.30 ml/min,t=5.302)was significantly higher than that of control group(P<0.05).The incidence rates of FI[14.0%(7/50)vs.42.0%(21/50);χ^(2)=9.722,P<0.01]and apnea[12.0%(6/50)vs.32.0%(16/51);χ^(2)=5.828,P<0.01].Conclusion:Zusanli acupoint massage combined with abdominal touching is beneficial to improve feeding performance of premature infants,recover birth weight as soon as possible,achieve total intestinal feeding and improve early feeding tolerance.

关 键 词：婴儿 早产 穴 足三里 喂养不耐受 按摩 腹部抚触 

分 类 号：R272[医药卫生—中医儿科学]