小儿推拿治疗早产儿不乳症50例临床观察  

Clinical observation on 50 cases of dysthelasia in preterm infants treated with pediatric tuina

作　　者：凡伟 曾磊 王容[2] 刘振寰 FAN Wei;ZENG Lei;WANG Rong;LIU Zhenhuan(Department of Pediatric Neurorehabilitation,Qingyuan Maternal and Child Health Hospital,Qingyuan,Guangdong,511515,China;School of Nursing,Qingyuan Vocational and Technical College,Qingyuan,Guangdong,511510,China;Department of Pediatric Neurorehabilitation,Foshan Nanhai Maternal and Child Health Hospital,Foshan,Guangdong,528000,China)

机构地区：[1]清远市妇幼保健院小儿神经康复科,广东清远511515 [2]清远职业技术学院护理学院,广东清远511510 [3]佛山南海妇幼保健院小儿神经康复科,广东佛山528000

出　　处：《中医儿科杂志》2023年第6期85-88,共4页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：清远市科技计划项目(211125104560510)。

摘　　要：目的观察小儿推拿治疗早产儿不乳症的临床疗效。方法选取2020年1月1日至2021年12月31日在清远市妇幼保健院新生儿科收治的早产不乳症患儿100例,采用随机数字表法分为对照组和治疗组,各50例。对照组予新生儿常规护理(抚触)及喂养,治疗组在对照组治疗方法的基础上采用小儿推拿治疗,2组均连续治疗5 d后统计疗效。结果治疗前,2组的吸吮紊乱及障碍评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,对照组的吸吮紊乱及障碍评分与同组治疗前比较,差异无统计学意义(P>0.05),而治疗组上述评分均明显降低,与同组治疗前及对照组治疗后比较,差异均有统计学意义(P<0.01)。治疗前,2组的正常吸吮评分比较,差异无统计学意义(P<0.05),具有可比性;治疗后,2组的正常吸吮评分均较同组治疗前明显增加(P<0.05或P<0.01),且治疗组增加更显著(P<0.01)。结论小儿推拿治疗早产儿不乳症,疗效显著,可明显改善患儿吸吮功能,值得临床推广应用。Objective To observe the clinical efficacy of pediatric tuina in the treatment of dysthelasia in pre⁃term infants.Methods A total of 100 preterm infants with dysthelasia who were admitted to the neonatal depart⁃ment of Qingyuan Maternal and Child Health Hospital from January 1,2020 to December 31,2021 were divided into a control group and a treatment group in a random number,with 50 cases in each group.The control group received routine care(touching)and feeding for newborns.The treatment group received pediatric tuina therapy on the basis of routine care(touching)and feeding in the control group.After continuous treatment for 5 days,both groups were counted for efficacy.Results Before treatment,the sucking disorder and obstacle scores of the 2 groups were com⁃parable with no statistical significance(P>0.05);after treatment,the sucking disorder and obstacle scores of the control group were not statistically significant when compared with those of the same group before treatment(P>0.05),whereas all the above scores of the treatment group were significantly reduced,and the differences were sta⁃tistically significant when compared with those of the same group before treatment and after treatment(P<0.01).Before treatment,the normal sucking scores of the 2 groups were compared,and the difference was not statistically significant(P<0.05),which was comparable;after treatment,the normal sucking scores of the 2 groups were signif⁃icantly higher than those of the same group before treatment(P<0.05 or P<0.01),and the increase was more sig⁃nificant in the treatment group(P<0.01).Conclusion Pediatric tuina for the treatment of dysthelasia in preterm infants has remarkable efficacy and can significantly improve the sucking function of preterm infants,which is wor⁃thy of clinical popularization.

关 键 词：不乳症 早产儿 小儿推拿 临床观察 

分 类 号：R272.1[医药卫生—中医儿科学]