捏脊联合点穴疗法预防极低出生体重儿喂养不耐受的临床效果研究

A study on the clinical effect of chiropractic combined with acupoint therapy in preventing feeding intolerance in very low birth weight infants

目的探讨捏脊联合点穴疗法预防极低出生体重儿喂养不耐受的效果。方法便利抽样法选取2022年7月至2023年2月某医院新生儿科重症监护室收治的98例极低出生体重儿为研究对象,采用随机数字表法分为对照组和试验组,各49例。对照组采用常规西医治疗及护理,试验组在此基础上实施捏脊联合点穴疗法护理干预,比较两组极低出生体重儿出现喂养不耐受及并发症的发生率、完全经口喂养时间、胎便完全排尽时间、住院时间、体重增长情况等。结果试验组极低出生体重儿喂养不耐受及并发症发生率均低于对照组(P<0.05),完全经口喂养时间、胎便完全排尽时间、住院时间较对照组缩短(均P<0.05),体重增长高于对照组(P<0.05)。结论捏脊联合点穴疗法可预防极低出生体重儿喂养不耐受发生,降低喂养不耐受并发症的发生率,加快完全经口喂养进程、促进胎便排尽、缩短住院时间,促进极低出生体重儿生长发育。

Objective To explore the effect of chiropractic combined with acupoint therapy in preventing feeding intolerance in very low birth weight infants(VLBWI).Methods A total of 98 VLBWI admitted in the Neonatal Intensive Care Units(NICU)from July 2022 to February 2023 were randomly divided into the control group(n=49)and the experimental group(n=49).The control group received con⁃ventional Western medical treatment and care,while the experimental group were given chiropractic combined with acupoint therapy.The inci⁃dence of feeding intolerance,complications,duration of full oral feeding,meconium evacuation time,length of hospital stay,and weight gain were compared between the two groups.Results The incidence of the feeding intolerance and associated complications in the experimental group were significantly lower than those of the control group(P<0.05).The duration of full oral feeding,meconium evacuation time,hospital stay in the experimental group were significantly shorter than those of the control group(all P<0.05).The weight gain in the experimental group was higher than that of the control group(P<0.05).Conclusion Chiropractic combined with acupoint therapy can effectively prevent feeding intolerance and its associated complications,expedite the transition to full oral feeding,promote meconium evacuation,reduce hospital stay,and enhance the growth and development of VLBWI.