【摘要】 目的 观察单氏小儿推拿手法结合辨证经穴刺激对早产低体质量儿胎便排泄延迟的作用。方法 选择早产低体质量儿60例,按随机化数字表法分为推拿组和常规治疗组,每组各30例。两组均给予常规早产儿护理,推拿组在此基础上采用单氏小儿推拿手法进行经穴刺激。比较两组早产儿的首次排胎粪时间、每日排便次数、胎便转黄时间等。结果 推拿组首次排便时间、胎便转黄时间、每日排便次数、黄疸持续天数、接受光疗天数、喂养不耐受发生率和平均住院天数分别为(14.95±2.20)h、(51.63±6.12)h、(3.02±0.88)次、(5.20±2.73)d、(256±1.35)d、13.33%、(12.20±0.40)d,常规治疗组分别为(20.46±3.06)h、(59.37±8.66)h,(2.06±0.75)次、(9.06±4.55)d、(3.84±2.29)d、36.67%、(15.10±0.30)d,差异有统计学意义;两组经皮黄疸指数峰值比较,差异无统计学意义。结论 对早产低体质量儿进行早期单氏小儿推拿干预,可以促进患儿胎便排出和辅助退黄,并且可以减少喂养不耐受的发生。更多还原

【Abstract】 Objective To exmine the effect of Shan’s massage therapy in combination with syndrome differentiation acupuncture point stimulation on meconium discharges in low birth weight premature infants.Methods Sixty cases of premature infant with low birth weight admitted to our hospital from April 2010 to December 2011 were selected and were randomly assigned to massage group or conventional therapy group,with 30 cases in each.Routine preterm neonate nursing was used in the two groups.Shan’s massage therapy combined with syndrome differentiation acupuncture point stimulation was used in the massage group on the basis of routine preterm neonate nursing.The first meconium time,daily cacation frequency,meconium turning yellow time,percutaneous jaundice index,phototherapy time,jaundice days,premature infant feeding intolerance,and hospital stay were recorded and compared between the two groups.Results The first meconium time and meconium turning yellow time in the massage group[(14.95 ± 2.20) h and(51.63 ± 6.12) h,respectively]were shorter than those in the conventional therapy group[(20.46 ± 3.06) h and(59.37 ± 8.66) h,respectively].Jaundice days in the massage group and the conventional therapy group were(5.20 ±2.73) days and(9.06 ±4.55) days,respectively.Phototherapy time in the massage group and the conventional therapy group were(2.56 ± 1.35) days and(3.84 ±2.29) days,respectively.The difference in percutaneous jaundice index between the two groups was not statistically significant.The incidence of feeding intolerance in the massage group(13.33%) was lower than that in the conventional therapy group(36.67%).The difference in hospital stay between the two groups was not statistically significant.Conclusion Early initiation of Shan’ s massage therapy could promote meconium discharges to the low birth weight premature infant and reduce high bilirubinemia and feeding intolerance.更多还原