游泳在新生儿胆红素脑病康复中的应用效果  

Application effects of swimming in rehabilitation of neonatal bilirubin encephalopathy

作　　者：于燕 陈霜凌 贺亚楠 YU Yan;CHEN Shuangling;HE Yanan(Department of Neonatology of Zhumadian Central Hospital,Zhumadian 463000 Henan,China)

机构地区：[1]驻马店市中心医院新生儿科,河南驻马店463000

出　　处：《中国民康医学》2024年第15期91-93,97,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察游泳在新生儿胆红素脑病(BE)康复中的应用效果。方法:选取2020年5月至2023年5月该院收治的92例BE患儿进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各46例。对照组给予常规康复护理,观察组在对照组基础上给予游泳干预。比较两组干预前、干预7 d后血清胆红素[总胆红素(TBiL)、直接胆红素(DBiL)、间接胆红素(IBiL)]水平、脑损伤指标[中枢神经特异性蛋白(S100β)、神经元特异性烯醇化酶(NSE)]水平、摄奶量、睡眠时间及出生1个月时生长发育指标(体质量、头围、上臂围及身长的增加值)水平。结果:干预后,观察组血清TBiL、IBiL、DBiL、S100β、NSE水平均低于对照组,摄奶量及体质量、头围、上臂围、身长的增加值均大于对照组,睡眠时间长于对照组,差异有统计学意义(P<0.05)。结论:游泳应用于新生儿BE康复中可降低胆红素水平和脑损伤程度,增加摄奶量,延长睡眠时间,促进生长发育,效果优于单用常规康复护理。Objective:To observe application effects of swimming in rehabilitation of neonatal bilirubin encephalopathy(BE).Methods:A prospective study was conducted on 92 children with BE admitted to this hospital from May 2020 to May 2023.According to the random number table method,they were divided into control group and observation group,46 cases in each group.The control group was given routine rehabilitation nursing,while the observation group was given the swimming intervention on the basis of that of the control group.The levels of serum bilirubin[total bilirubin(TBiL),direct bilirubin(DBiL),indirect bilirubin(IBiL)]and brain injury indexes[central nervous specific protein(S100β),neuron specific enolase(NSE)],the milk intake,the sleep time,and the growth and development indexes(body weight,head circumference,upper arm circumference,body length increment)levels 1 month after birth were compared between the two groups before and 7 days after the intervention.Results:After the intervention,the levels of serum TBiL,IBiL,DBiL,S100βand NSE in the observation group were lower than those in the control group,the levels of milk intake,body weight,head circumference,upper arm circumference and body length were higher than those in the control group,the sleep time was longer than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:Swimming in the rehabilitation of neonatal BE can reduce the levels of bilirubin and the degree of brain injury,increase the milk intake and the sleep time,and promote the growth and development.Moreover,it is superior to simple conventional rehabilitation nursing.

关 键 词：新生儿 胆红素脑病 游泳 脑损伤 康复护理 生长发育 

分 类 号：R722.1[医药卫生—儿科]