新生儿抚触联合中医穴位按摩护理在新生儿黄疸中的应用研究  

Study on Application of Neonate Touching Combined with Acupoint Massage Nursing in Neonate Jaundice

作　　者：王文丽[1] 张香芝[1] 赵利娟 史晓菲 杨凤美[1] WANG Wenli;ZHANG Xiangzhi;ZHAO Lijuan;SHI Xiaofei;YANG Fengmei(Shangqiu First People's Hospital,Shangqiu 476100,Henan,China)

机构地区：[1]商丘市第一人民医院,河南商丘476100

出　　处：《实用中医内科杂志》2024年第5期120-123,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：河南省医学科技攻关计划项目(LHGJ20201012)。

摘　　要：目的 探究在新生儿黄疸中应用新生儿抚触联合中医穴位按摩护理的效果。方法 以2021年5月—2023年5月为研究开展时段,抽选在该时段内在商丘市第一人民医院分娩出生确诊黄疸的新生儿80例为研究对象,按照电脑随机分组的方式划分40例为对照组,接受常规新生儿抚触护理,余40例患儿为观察组,在对照组的基础上增加中医穴位按摩,比较两组患儿的护理前后经皮胆红素值(TCB)、血清胆红素水平(TB)、血清直接胆红素水平(DB)值、黄疸消退时间、胆红素恢复时间、日睡眠时间、日排便次数、体质量增长。结果 护理后,观察组观察组TCB下降快于对照组(P<0.05);TB、DB均低于对照组(P<0.05);黄疸消失时间、血清胆红素恢复时间均短于对照组(P<0.05);日睡眠时间、日排便次数、体质量均高于对照组(P<0.05)。结论 在新生儿黄疸中应用新生儿抚触联合中医穴位按摩护理的效果较好,可降低血清胆红素水平,改善黄疸症状,加快黄疸消退,保障了新生儿睡眠时间,利于新生儿排便和正常哺育,体质量向正向情况良好发展。Objective To explore the effect of neonatal touch combined with acupoint massage nursing in neonatal jaundice.Methods Taking May 2021-May 2023 as the research period,80 newborns who were born in Shangqiu First People's Hospital and diagnosed with jaundice during this period were selected as the research object,and 40 newborns were randomly divided into control group by computer,receiving routine neonatal touch care,while the remaining 40 children were the observation group,adding traditional Chinese medicine acupoint massage to the control group.Then compare the transcutaneous bilirubin(TCB)values of the two groups of children on the day of admission and for 4 consecutive days after nursing,and compare the serum bilirubin level(TB)and serum direct bilirubin level(DB)values of the two groups of children before and after treatment,and compare the jaundice regression time and bilirubin recovery time of the two groups of children,and compare the daily sleep time,daily defecation times and weight gain of the two groups of children before and after nursing.Results After nursing,The TCB in the observation group decreased faster than that in the control group(P<0.05),the TB and DB of the observation group were lower(P<005),the disappearance time of jaundice and the recovery time of serum bilirubin were shorter(P<0.05),the daily sleep time,daily bowel movements,and body mass of the control group were all higher than those of the control group(P<0.05).Conclusion The application of neonatal touching combined with acupoint massage nursing in neonatal jaundice has a good effect,which can reduce serum bilirubin level,improve jaundice symptoms,speed up the regression of jaundice,ensure the sleep time and normal development of newborns,and at the same time,it is beneficial to defecation and normal feeding of newborns,and the weight develops well in the positive direction.

关 键 词：新生儿抚触 穴位按摩 中医 黄疸 病理性黄疸 血清胆红素 新生儿护理 皮肤黄染 疏肝利胆 

分 类 号：R272.1[医药卫生—中医儿科学]