蓝光照射联合捏脊疗法治疗新生儿病理性黄疸的临床疗效分析  

Clinical efficacy analysis of blue light irradiation combined with chiropractic therapy in the treatment of neonatal pathological jaundice

作　　者：曹丽琴 黄桂兰 田冬英 CAO Li-qin;HUANG Gui-lan;TIAN Dong-ying(Shangyou County Maternal and Child Health Hospital,Ganzhou 341200,China)

机构地区：[1]江西省上犹县妇幼保健院,341200

出　　处：《中国实用医药》2024年第21期156-159,共4页China Practical Medicine

基　　金：赣州市科技计划项目(项目编号:20222ZDX8783)。

摘　　要：目的 分析新生儿病理性黄疸采取蓝光照射联合捏脊疗法治疗的临床疗效。方法 60例新生儿病理性黄疸患儿,以随机抽签法分为观察组和对照组,每组30例。对照组采取蓝光照射+常规治疗,观察组在对照组的基础上联合中医捏脊疗法治疗。比较两组患儿黄疸消退时间、排便次数、住院时间、血清胆红素指标[总胆红素(TBIL)、间接胆红素(IBIL)、直接胆红素(DBIL)]、摄入奶量、黄疸指数。结果 观察组黄疸消退时间(5.08±1.12)d、住院时间(6.42±0.80)d均短于对照组的(7.05±1.43)、(8.35±1.04)d,排便次数(4.07±1.59)次/d多于对照组的(2.55±1.16)次/d(P<0.05)。治疗后,观察组TBIL(130.56±30.28)μmol/L、IBIL(122.54±13.05)μmol/L、DBIL(8.01±1.71)μmol/L均低于对照组的(165.42±31.20)、(152.83±14.60)、(9.92±1.80)μmol/L(P<0.05)。治疗后,观察组摄入奶量(842.51±56.32)ml/d多于对照组的(705.90±52.19)ml/d,黄疸指数(3.68±1.20)mg/dl低于对照组的(5.37±1.05)mg/dl(P<0.05)。结论 在新生儿病理性黄疸治疗中,采取蓝光照射联合捏脊疗法能够增加患儿的摄入奶量,促进黄疸消退,加快病情恢复。Objective To analyze the clinical effficacy of blue light irradiation combined with chiropractic therapy in the treatment of neonatal pathological jaundice.Methods 60 newborns with pathological jaundice were divided into an observation group and a control group using random lottery method,with 30 cases in each group.The control group was treated with blue light irradiation+chiropractic therapy,and the observation group was treated with chiropractic therapy based on the control group.The duration of jaundice,number of bowel movements,hospitalization time,serum bilirubin indicators[total bilirubin(TBIL),indirect bilirubin(IBIL),direct bilirubin(DBIL)],milk intake and jaundice index were compared between the two groups.Results In the observation group,the duration of jaundice was(5.08±1.12)d and the hospitalization time was(6.42±0.80)d,which were shorter than(7.05±1.43)and(8.35±1.04)d in the control group;the number of bowel movements of(4.07±1.59)times/d was higher than(2.55±1.16)times/d in the control group(P<0.05).After treatment,the observation group had TBIL of(130.56±30.28)μmol/L,IBIL of(122.54±13.05)μmol/L and DBIL of(8.01±1.71)μmol/L,which were lower than(165.42±31.20),(152.83±14.60)and(9.92±1.80)μmol/L in the control group(P<0.05).After treatment,the observation group had more milk intake of(842.51±56.32)ml/d than(705.90±52.19)ml/d in the control group,and lower jaundice index of(3.68±1.20)mg/dl than(5.37±1.05)mg/dl in the control group(P<0.05).Conclusion In the treatment of pathological jaundice in newborns,the combination of blue light irradiation and chiropractic therapy can increase the milk intake,promote the resolution of jaundice,and accelerate the recovery of the condition.

关 键 词：蓝光照射 捏脊疗法 新生儿病理性黄疸 临床疗效 

分 类 号：R722.17[医药卫生—儿科]