小儿推拿结合体位管理改善早产儿生长发育临床研究  

Clinical Study on Infantile Tuina Combined with Posture Management in Improving Growth and Development of Premature Infants

作　　者：齐国宾 朱传芬 殷侠 QI Guobin;ZHU Chuanfen;YIN Xia(Tengzhou Central People's Hospital Affiliated to Xuzhou Medical University,Tengzhou Shandong 277599,China)

机构地区：[1]徐州医科大学附属滕州市中心人民医院,山东滕州277599

出　　处：《新中医》2024年第24期129-133,共5页New Chinese Medicine

基　　金：徐州医科大学附属医院科技发展基金项目(面上项目)(XYFM2021041)。

摘　　要：目的:观察小儿推拿结合体位管理改善早产儿生长发育的效果。方法:选取2020年3月—2021年3月徐州医科大学附属滕州市中心人民医院极低出生体重(VLBW)早产儿78例,采用数字表法将其分为对照组和观察组各39例。对照组给予常规护理方法,观察组在对照组的基础上实施小儿推拿及体位管理,观察比较2组早产儿临床结局(包括无创通气时间、住院时间、胃管留置时间)、其他生长发育情况(包括体质量平均日增长量、头围增长量、体质量增长量)及胃功能(包括胃动素、胃泌素)的变化。结果:治疗后,观察组无创通气时间、住院时间、胃管留置时间均短于对照组,差异均有统计学意义(P<0.05);治疗后,观察组体质平均日增长量、头围增长量、体质量增长量均多于对照组,差异均有统计学意义(P<0.05);治疗后,观察组胃动素、胃泌素水平均高于对照组,差异均有统计学意义(P<0.05)。结论:对VLBW早产儿实施小儿推拿及体位管理可有效改善其胃功能,以及各项生长发育指标,减少住院时间及用氧时间,对促进良好的临床结局有积极作用。Objective:To observe the improvement effect of infantile tuina combined with posture management on the grouth and development of premature infants.Methods:A total of 78 cases of very low birth weight(VLBW)premature infants in Tengzhou Central People's Hospital Affiliated to Xuzhou Medical University from March 2020 to March 2021 were selected and divided into the control group and the observation group,with 39 cases in each group,using a number table method.The control group received routine nursing methods,and the observation group received infantile tuina and posture management on the basis of the control group.The changes in clinical outcomes(including non-invasive ventilation time,hospitalization time,and gastric tube retention time),growth and development(including average daily body mass growth,head circumference growth,and body mass growth),and gastrointestinal function(including motilin and gastrin)were observed and compared between the two groups of premature infants.Results:After treatment,the observation group had shorter non-invasive ventilation time,hospitalization time,and gastric tube retention time than the control group,differences being significant(P<0.05).After treatment,the average daily body mass growth,head circumference growth,and body mass growth in the observation group were higher than those in the control group,differences being significant(P<0.05).After treatment,the levels of motilin and gastrin in the observation group were higher than those in the control group,differences being significant(P<0.05).Conclusion:Implementing infantile tuina and posture management for VLBW premature infants can effectively improve their respiratory and gastrointestinal functions,as well as various growth and development indicators,reduce hospitalization time and oxygen use time,and have a positive effect on promoting good clinical outcomes.

关 键 词：早产儿 小儿推拿 体位管理 临床结局 胃功能 生长发育 

分 类 号：R722.6[医药卫生—儿科]