中医外治在早产儿喂养不耐受治疗中的应用  

Application of external treatment of traditional Chinese medicine in the treatment of feeding intolerance in premature infants

作　　者：李沐珍 张文明 吴银娣 LI Mu-zhen;ZHANG Wen-ming;WU Yin-di(Department of Pediatrics,Meizhou Hospital of Traditional Chinese Medicine,Meizhou 514000,Guangdong,CHINA)

机构地区：[1]梅州市中医医院儿科,广东梅州514000

出　　处：《海南医学》2022年第2期228-230,共3页Hainan Medical Journal

基　　金：广东省梅州市科技计划项目(编号:201116092051895)。

摘　　要：目的研究中医外治在早产儿喂养不耐受治疗中的应用效果。方法选取梅州市中医医院2020年4月至2021年6月期间收治的76例早产儿作为研究对象,按照随机数表法将其分为研究组和对照组各38例。对照组早产儿在常规治疗的基础上采用手指点穴法治疗,研究组早产儿在常规治疗的基础上采用手指点穴法联合腹部按摩法治疗。两组早产儿均治疗15 d,比较两组早产儿的治疗效果、恢复出生体质量时间、喂养不耐受平均持续时间、达到完全肠胃喂养时间、出院时间和总喂养不耐受发生率。结果研究组早产儿的治疗总有效率为97.37%,明显高于对照组的78.95%,差异有统计学意义(P<0.05);研究组早产儿的恢复出生体质量时间、喂养不耐受平均持续时间、达到完全肠胃喂养时间、出院时间分别为(6.78±1.76)d、(4.98±1.06)d、(15.46±3.45)d、(20.34±4.06)d,明显短于对照组早产儿的(7.95±1.14)d、(6.85±1.13)d、(19.24±5.28)d、(25.64±4.62)d,差异均有统计学意义(P<0.05);研究组早产儿的总喂养不耐受发生率为13.16%,明显低于对照组的34.21%,差异有统计学意义(P<0.05)。结论中医外治方法治疗早产儿能明显降低早产儿喂养不耐受的发生率,临床应用效果显著,具有应用价值。Objective To study the application effect of TCM external treatment in the treatment of feeding intolerance in premature infants. Methods Seventy-six premature infants treated in Meizhou Hospital of Traditional Chinese Medicine from April 2020 to June 2021 were selected as the research objects. They were divided into a study group and a control group, with 38 infants in each group according to random number table method. The premature infants in the control group were treated with finger point method on the basis of routine treatment, and the premature infants in the study group were treated with finger point method combined with abdominal massage on the basis of routine treatment. Both groups of preterm infants were treated for 15 days. The treatment effect, time to restore birth weight, average duration of feeding intolerance, time to complete gastrointestinal feeding, discharge time, and total incidence of feeding intolerance were compared between the two groups. Results The total effective rate of premature infants in the study group was 97.37%, which was significantly higher than 78.95% in the control group(P<0.05);the recovery time of birth weight, the average duration of feeding intolerance, the time to complete gastrointestinal feeding, and the time to discharge in the study group were(6.78±1.76) d,(4.98±1.06) d,(15.46±3.45) d, and(20.34±4.06) d, which were significantly shorter than(7.95±1.14) d,(6.85±1.13) d,(19.24±5.28) d, and(25.64±4.62) d in the control group(P<0.05);the total incidence of feeding intolerance in preterm infants in the study group was 13.16%, which was significantly lower than34.21% in the control group(P<0.05). Conclusion External treatment with traditional Chinese medicine in the treatment of preterm infants can significantly reduce the incidence of feeding intolerance in preterm infants, which brings significant treatment effect and has clinical application value.

关 键 词：早产儿 喂养不耐受 手指点穴法 腹部按摩法 效果 

分 类 号：R722[医药卫生—儿科]