药浴水疗对早产儿及低体重儿胆红素及血糖的影响

The effects of medicated hydrotherapy on bilirubin and blood glucose in premature and low birth weight neonates

目的根据新生儿黄疸药浴方制成适合早产儿及低体重儿的药浴水疗方,观察此药浴水疗方对早产儿及低体重儿黄疸及血糖的影响。方法选择住院的采用药浴水疗的38例早产儿或低体重儿为药浴组,同期非药浴水疗的38例早产儿或低体重儿为对照组,以新生儿黄疸的药浴方加减制成适合早产儿或低体重儿生理特点的药浴方,配成500 mL的药液,两组均在出生后24 h进行水疗或沐浴,监测其血糖值、经皮胆红素值的变化。结果 (1)药浴组药浴前后血糖比较,第1、3天差异有统计学意义(P<0.05),第2天差异无统计学意义(P>0.05);(2)两组胆红素值比较:第24、48小时两组差异无统计学意义(P>0.05),出生后第96、144小时差异有统计学意义(P<0.01),药浴组新生儿黄疸指数较对照组轻。结论 (1)本药浴方能减少早产儿和低体重儿出生后24 h内病理性黄疸的发生,并能减轻病理性黄疸,促进生理性黄疸的消退;(2)早产儿和低体重儿在进行药浴的过程中无低血糖的发生;(3)本药浴水疗方对早产儿和低体重儿来说安全、有效,不失为一种值得推广的医疗保健方法。

Objective To evaluate the effects of medicated hydrotherapy on jaundice and blood glucose in prema- ture and low birth weight neonates. Methods Each 38 cases of premature or low birth weight infants were included in hy- drotherapy group and control group. The neonates were taken bathing spa at the 24th hour after birth with 500 mL liquid of neonatal jaundice medicated bathing adjusted for premature infants or low birth weight infants. The blood glucose and transcutaneous bilirubin levels were recorded. Results There was significant difference of blood glucose between before and after hydrotherapy in hydrotherapy group on the 1 st and 3rd day after birth （ P 〈 0. 05 ） ; but not on the 2nd day （ P 〉 0. 05 ）. There was no significant difference of bilirubin between two groups at the 24th and 48th hour after birth （ P 〉 0. 05 ） ; while it was significantly lower in hydrotherapy group than that in control group at the 96th and 144th hour （ P 〈 0.01 ）. Conclusion The medicated hydrotherapy can reduce hyperbilirubinemia in premature infants and low birth weight infants within 24 hours after birth and alleviate physiological jaundice. And there is no hypoglycemia in medicated bathing.