【摘要】 目的:探讨穴位按摩和增加哺乳频率对母乳喂养性黄疸 (BFJ)胆红素水平的影响。方法:随机将 18例母乳喂养性黄疸患儿分为两组,常规治疗护理相同。干预组 60例,采取泻黄汤穴位按摩和在按需哺乳的基础上适当增加哺乳频率;对照组 58例常规治疗护理,按需哺乳。结果:干预组与对照组哺乳次数分为 8 .9±1 .6次 /d与5. 7±1. 3次 /d;排便次数分别为 5. 5±1 .0次 /d与 3 .0±1.2次 /d;黄疸消失所需光疗时间分别为 31±8h与 40±9h;胆红素每天下降值为 31 .4±10 .2与 23. 2±8 .4,上述结果差异均有显著性 (P<0 .01)。结论:对BFJ患儿采取泻黄汤穴位按摩和在按需哺乳的基础上适当增加哺乳频率,可促进胆红素排泄,降低血清胆红素水平。更多还原

【Abstract】 Objective:To explore effects of acupoint massage and breast-feeding frequency on serum bilirubin levels of neonates with breast-feeding jaundice(BFJ).Method:118 cases of neonates with BFJ were randomly divided into intervention group(n=60)and control group(n=58).Acupoint massage and increasing the frequency of breast-feeding in case of breast-feeding according to need were given to intervention group.Result:There were signiticant differences(P<0.01)between intervention group and control group in the frequencies of breast-feeding 8.9±1.6 times/d vs 5.7±1.3 times/d,the frequencies of stools defecation 5.5±1.5 times/d vs 3.0±1.2 times/d,phototherapy times 31±8 hours’vs 40±9 hours,and there were also significant differences(P<0.01)between two groups in the decreasing of serum bilirubin concertration 31.4±10.2 mol/L vs 23.2±8.4 mol/L.Conclusion:Acupoint massage and increasing breast-feeding frequency properly in case of breast-feeding according to need can increase the defecation of bilirubion,decrease serum bilirubin levels of neonates with BFJ.更多还原