推拿及抚触法护理新生儿随机平行对照研究

Tuina and Massage Treatments Neonatal Randomized Parallel Group Study

[目的]观察推拿及抚触法护理新生儿疗效。[方法]使用随机平行对照方法,将100例住院患者按病志号抽签法简单随机分为两组。对照组50例抚触护理,对新生儿进行前额、下颌、头部、胸部、腹部、四肢等有顺序的进行抚触。护理组50例穴位推拿按摩,用梳眉、抚颌和捋发的手法按摩前额;腰背部加推脊和拇指按揉督脉、足太阳膀胱经诸穴各15~20次,捏脊3~5次;胸部沿肋弓角边缘或自中脘至脐向两旁分推2min,腹部用掌心和指腹按顺时针方向轻揉20~30次;以掌心对脐,叠掌按顺时针方向绕脐揉腹2min;下肢时按揉足三里20~30次;抚触护理同对照组。连续护理30d为1疗程。观测临床症状、Apgar评分、身长、体重、红臀、吐奶、肺炎、腹泻、不良反应。护理1疗程,判定疗效。[结果]Apgar评分、身高、体重两组均有改善（P〈0.05）,治疗组改善优于对照组（P〈0.05）;红臀、吐奶、肺炎、腹泻治疗组少于对照组（P〈0.05）。[结论]推拿及抚触法护理新生儿效果显著,值得推广。

[Objective]To observe the effect of Tuina and massage treatments newborns. [Methods]Using random parallel control method, 100 cases of hospitalized patients by disease Zhi No. balloting method is simple and randomly divided into two groups. The control group 50 cases touching care for newborns forehead, jaw, head, chest, abdomen, limbs and other sequential be touching. Care group 50 cases of acupuncture massage, eyebrow comb, ask jaw and stroked the hair of massage forehead; the lower back and pushed ridges and thumb rubbing Du, bladder full sun all points, each 15 to 20 times, chiropractic 3~5 times; costal arch angle along the edge of the chest or abdominal self-minute push to the sides to the umbilical 2min, gently massage the abdomen in a clockwise direction from 20 to 30 times with the palm and pulp; in the palm of the umbilicus, stacked in a clockwise direction around the palm Umbilical Roufu 2min; rubbing Zusanli 20 to 30 times lower extremities; massage treatments with the control group. 30d continuum of care for a course of treatment. Observation of clinical symptoms, Apgar score, length, weight, adverse reactions. Nursing a course of treatment, to determine efficacy. [Results]Physical indicators advances in both groups （P〈0.05）, the treatment group than in the control group （P〈0.05）. Related indicators treatment group than in the control group （P〈0.05）. [Condusion]Tuina and massage treatments neonatal effect is significant, worthy of promotion.