肛门刺激和腹部抚触对降低新生儿病理性黄疸发生的作用

Influence of anal stimuli and abdominal caressing on neonatal jaundice

目的探讨肛门刺激和腹部抚触对降低新生儿病理性黄疸发生的作用。方法选择在本院剖宫产出生的足月正常新生儿130例,根据出生顺序,单号为观察组65例,双号为对照组65例。两组新生儿出生后均进行常规护理,观察组在此基础上实施肛门刺激和腹部抚触。比较两组新生儿首次排胎便时间、胎便转黄时间和经皮胆红素值的差异。结果观察组新生儿排胎便时间和胎便转黄时间较对照组提前;经皮胆红素值低于对照组,差异具有统计学意义(均P<0.05)。结论采取肛门刺激和腹部抚触新生儿,能有效促进新生儿胆红素的排泄,降低新生儿病理性黄疸的发生。

Objective To explore the influence of anal stimulus and abdominal caress on neonatal jaundice. Methods 130 normal full-month newborns after cesarean were randomly divided into the intervention group （n = 65） and the control group （n = 65）.Both groups received routine care. Two hours after birth, the rectums of every neonates from the intervention group was stimulated using a catheter, and abdominal caress was applied at the same time.Result The first defecating time and the time for meconium turning yellow in the intervention group were shorter than those in the control group （all P 0.05）.Conclusion Artificial stimulation for early defecation plus the abdominal physical exercise nursing may promote the discharge of bilirubin effectively, and reduce the chance of pathological jaundice of newborn.