“新生儿游泳”在产科临床应用的探讨  

The Experiences of Neonatal Swimming Applied in Clinical Obstetrics

作　　者：赵少飞[1] 谢丽群[1] 胡海宾[1] 夏建红[1] 张温[1] 陈宝红[1] 

机构地区：[1]广东省妇幼保健院产科,广州510010

出　　处：《中华围产医学杂志》2003年第4期218-220,共3页Chinese Journal of Perinatal Medicine

摘　　要：目的　探讨在住院期间新生儿“游泳”后部分指标变化的临床意义。　方法　将 377例正常新生儿按分娩顺序分为观察组 (游泳组 ) 2 2 3例 ,其中阴道分娩 12 7例 ,剖宫产 96例 ;对照组 (单纯沐浴组 ) 15 4例 ,其中阴道分娩 10 9例、剖宫产 4 5例。测定两组新生儿的出生体重、出院时体重、胎便初排时间、胎便转黄时间。　结果　两组阴道分娩、剖宫产新生儿出生时体重无明显差异 (P >0 .0 5 ) ,观察组新生儿出院时阴道分娩者平均体重 (32 90± 35 0 ) g,剖宫产者平均体重 (35 10± 4 0 0 ) g;对照组新生儿出院时体重阴道分娩者平均 (30 90± 380 ) g,剖宫产者平均 (3170± 4 80 ) g,两组比较差异有显著性 (P<0 .0 1)。观察组胎便转黄时间 ,阴道分娩者平均 (39.2± 15 .9) h,剖宫产者平均 (39.0± 13.6 ) h,对照组胎便转黄时间 ,阴道分娩平均 (4 8.0± 19.4 ) h,剖宫产平均 (5 5 .7± 2 5 .1) h,两组比较差异有显著性 (P<0 .0 1)。两组胎便初排时间差异亦有显著性 (P<0 .0 5 )。　结论　新生儿游泳有助于新生儿的生长发育。Objective To study the significance of the changes of some clinical parameters about neonatal 'swimming' (water therapy) during hospitalization. Methods The normal neonates are divided into two groups to observe their birth weight, the weight before discharging from hospital, the time of first defecation and the meconium turning yellow. Group Ⅰ (swimming group) included 127 neonates delivered from vagina and 96 neonates delivered by cesarean section. Group Ⅱ (simply bathing group) included 109 neonates delivered from vagina and 45 neonates delivered by cesarean section. Results There is no significance in birth weight between vaginal delivery group and cesarean section group (P>0.05). However, before discharging from hospital, the weight of the babies delivered from vagina and delivered by cesarean section in group Ⅰ is (3 290±350)g and (3 510±400)g respectively, compared with (3 090±380)g and (3 170±480)g in group Ⅱ (P<0.01). The time of their meconium turning yellow is (39.2±15.9)h and (39.0±13.6)h respectively in group Ⅰ, compared with (48.0±19.4)h and (55.7±25.1)h in group Ⅱ, there is significant difference between the two groups . There is significant difference between the two groups on the time of the first meconium (P<0.05). Conclusion Neonatal swimming can accelerate the babies' growth in the early stage.

关 键 词：产科 临床应用 胎便 临床意义 “新生儿游泳” 阴道分娩 剖宫产 

分 类 号：R174[医药卫生—妇幼卫生保健]