游泳、抚触对新生儿黄疸的影响

Effect of swimming and caress on neonatal jaundice

目的探讨游泳抚触对新生儿黄疸的影响。方法将2007年10月～2008年2月出生的100例足月新生儿随机分为实验组和对照组，由专人对实验组住院新生儿进行游泳抚触，分别观察用经皮胆红素测量仪测定的经皮胆红素动态变化。结果实验组经皮胆红素明显低于对照组，且在1～5天内生理性黄疸加深缓慢，两组之间有显著性差异（t值分另q为3．46、4．37、5．46、6．84、7．68，均P〈0．01）；实验组新生儿大便平均次数明显多于对照组，且明显早于对照组（t值分别为3．41、3．90、4．50、5．40、6．92，均P〈1．01）。结论通过游泳抚触可较快的降低新生儿血胆红素，减少高胆红素血症的发生。

Objective To investigate effect of swimming and caress on neonatal jaundice. Methods A total of 100 newborns were selected and divided into two groups randomly： experimental group and control group. 50 newborns in the experimental group enjoyed swimming and touching during hospitalization while other 50 control newborns did not receive any intervention. The change in level of transcutaneous billirubin （TCB） of the neonates in the two groups were observed and compared. Results The TCB of the neonates in the experimental group was significantly lower than that in the control group, and deepening of physiological jaundice of those neonates from the day 1 to day 5 after birth in the experimental group was slower than that in the control group and there was a significant difference （ t = 3.46, 4.37, 5.46, 6.84, 7.68, respectively, all P 〈 0.01 ）. Compared with the control group, the first defecation time in the experimental group was earlier and average defecation frequency was more during first 5 days after birth （ t = 3.41, 3.90, 4.50, 5.40, 6.92, respectively, all P 〈 0.01 ）. Conclusion Swimming and caress can decrease incidence rate and degree of hyperbilirnbinema.