捏脊疗法应用于新生儿黄疸的临床效果  

Clinical effect of chiropractic therapy applied to neonatal jaundice

作　　者：蔡娟 顾玲 马晓伟 Cai Juan;Gu Ling;Ma Xiaowei(Department of Neonatology,Zhangjiagang Traditional Chinese Medicine Hospital,215600,China)

机构地区：[1]张家港市中医医院新生儿科,215600

出　　处：《国际护理学杂志》2022年第23期4328-4332,共5页international journal of nursing

基　　金：2018年度张家港市卫计系统青年科技项目(ZJGQNKJ201821)。

摘　　要：目的探讨捏脊疗法应用于新生儿黄疸的临床效果。方法选取张家港市中医医院2018年10月至2019年10月收治的新生儿黄疸患儿128例,随机分为观察组和对照组,各64例。对照组实施蓝光照射干预,观察组在对照组干预的基础上实施捏脊疗法。对两组患儿的临床疗效、初次排便时间及粪便转黄时间、黄疸指数情况进行比较分析。结果观察组干预5 d后,临床总有效率显著高于对照组(P<0.05)。观察组初次排便时间、便转黄时间均显著短于对照组(P<0.05)。两组干预前黄疸指数比较差异无统计学意义(P>0.05);观察组干预5 d后黄疸指数明显低于对照组(P<0.05)。两组干预前血清TRF及ALT水平比较差异无统计学意义(P>0.05);观察组干预5 d后TRF水平高于对照组(P<0.05),AST及ALT水平低于对照组(P<0.05)。观察组干预后不良反应发生率较对照组低(P<0.05)。结论捏脊疗法应用于新生儿黄疸中可有效提高临床疗效,缩短初次排便时间及粪便转黄时间,降低黄疸指数,值得推广。Objective:To investigate the clinical effects of chiropractic care applied to neonatal jaundice.Methods:A total of 128 children with neonatal jaundice admitted to this hospital from October 2018 to October 2019 were selected and randomly divided into an observation group and a control group,with 64 cases each.The control group implemented blue light irradiation intervention,and the observation group implemented chiropractic therapy on the basis of the intervention in the control group.The clinical efficacy,the time of first defecation and feces turning yellow,and the jaundice index of the two groups were compared and analyzed.Results:After 5 days of treatment,the total effective rate of the observation group was significantly higher than that of the control group(P<0.05).The first defecation time and the yellowing time of feces in the observation group were significantly shorter than those in the control group(P<0.05).There was no significant difference in jaundice index between the two groups before treatment(P>0.05).The jaundice index of the observation group was significantly lower than that of the control group after 5 days of treatment(P<0.05).There was no significant difference in serum TRF and ALT levels between the two groups before intervention(P>0.05).After 5 days of intervention,the levels of TRF in the observation group were higher than those in the control group,and the levels of AST and ALT in the observation group were lower than those in the control group(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusions:Chiropractic therapy applied to neonatal jaundice can effectively improve the clinical efficacy,shorten the first defecation time and stool yellowing time,and reduce jaundice index,which is worthy of popularization.

关 键 词：捏脊 蓝光照射 新生儿黄疸 临床疗效 

分 类 号：R248.4[医药卫生—中医临床基础]