三字经派推拿在新生儿高胆红素血症护理中的应用研究  

Study on the application of Sanzijing sect pediatric massage in the care of neonatal hyperbilirubinemia

作　　者：沃晶晶 冯意红[1] 肖许蓉[1] 朱丽娇 WO Jingjing;FENG Yihong;XIAO Xurong;ZHU Lijiao(Department of Neonatology,Ningbo Women and Children's Hospital,Zhejiang,Ningbo 315000,China)

机构地区：[1]宁波市妇女儿童医院新生儿科,浙江宁波315000

出　　处：《中国现代医生》2022年第25期77-79,104,共4页China Modern Doctor

基　　金：浙江省中医药科学研究基金项目(2021ZB262)。

摘　　要：目的探讨三字经派推拿对新生儿高胆红素血症患儿的疗效。方法选取2021年3月至2022年2月于宁波市妇女儿童医院住院的154例高胆红素血症新生儿纳入研究,按住院先后顺序依次将其分为试验组和对照组,每组各77例。对照组患儿采用常规光照疗法,试验组患儿在对照组治疗基础上给予三字经派推拿治疗,比较两组患儿的血清总胆红素(total serum bilirubin,TSB)和经皮胆红素(transcutaneous bilirubin,TCB)下降率、光疗时长、住院天数和疗效。结果治疗第3天,试验组患儿的TSB和TCB下降率均显著大于对照组(P<0.01)。试验组患儿的光疗时长和住院天数均显著短于对照组(P<0.01)。治疗第3天,试验组患儿的有效率和治愈率均显著高于对照组(P<0.05)。结论三字经派推拿结合蓝光治疗可促进新生儿胆红素代谢,缩短胆红素消退时间,减少光疗时长及住院天数,安全有效,临床可推广使用。Objective To explore the curative effect of Sanzijing sect pediatric massage on neonatal hyperbili rubinemia.Methods From March 2021 to February 2022,154 newborns with hyperbili rubinemia hospitalized in Ningbo Women and Children's Hospital were selected into the study,and they were divided into experimental group and control group according to the order of hospitalization,with 77 cases in each group.The children in control group were treated with routine light therapy,while the children in experimental group were treated with Sanzijing sect pediatric massage on the basis of the treatment in control group.The decrease rate of serum total bilirubin(TSB)and percutaneous bilirubin(TCB),duration of phototherapy,length of hospitalization and curative effect were compared between the two groups.Results On the third day of treatment,the decrease rates of TSB and TCB in experimental group were significantly higher than those in control group(P<0.01).The duration of phototherapy and hospitalization days in experimental group were significantly shorter than those in control group(P<0.05).On the third day of treatment,the effective rate and cure rate of children in experimental group were significantly higher than those in control group(P<0.05).Conclusion Sanzijing sect pediatric massage combined with blue light therapy can promote neonatal bilirubin metabolism,shorten bilirubin regression time,reduce phototherapy time and hospitalization days,which is safe and effective,and can be popularized in clinic.

关 键 词：三字经派 小儿推拿 新生儿高胆红素血症 护理 

分 类 号：R473.72[医药卫生—护理学]