抚触加穴位按摩联合非营养性吸吮治疗新生儿呕吐的效果观察

Effect of touch with point massage combined of nonnutritive sucking for the treatment of neonatal vomiting

目的:探讨抚触加穴位按摩联合非营养性吸吮对新生儿呕吐的影响。方法:对60例有呕吐症状的新生儿(排除消化道畸形新生儿)分为两组,对照组常规治疗如禁食、洗胃,少量多次喂养,斜坡卧位;研究组在常规治疗的基础上辅以新生儿抚触加穴位按摩联合非营养性吸吮,比较两组患儿再次呕吐次数、腹胀缓解时间、胎粪排净时间、肛门刺激排便次数、每天大便次数、恢复正常按需喂养时间及疗效。结果:两组新生儿呕吐均得到改善,研究组患儿再次呕吐次数、腹胀缓解时间、胎粪排净时间、肛门刺激排便次数、恢复正常按需喂养时间明显少于对照组,每日大便次数多于对照组,总有效率(93.5%)大于对照组(83.8%),差异有统计学意义(P<0.05);两组患儿在治疗期间均无明显不良反应。结论:抚触加穴位按摩联合非营养性吸吮对新生儿呕吐有明显的改善作用,值得临床推广。

Objective To investigate the effect of touch with point massage combine of nonnutritive sucking for the treatment of neonatal vomiting. Method 60 cases of vomiting newborns（ excluding the digestive tract malformation newborns） were divided into two groups,The control group conventional treatment such as fasting,gastric lavage,repeated small feeding,slope lying position; The study group on the basis of conventional treatment with neonatal touch point massage combined of nonnutritive sucking,children again vomiting,abdominal distension relief time,net meconium discharge time,anal stimulation in stool frequency,daily number of stool,achieve on- demand artificial feeding time and curative effect of two groups were compared. Results Two groups of neonatal vomiting were improved. Again vomiting,abdominal distension relief time,net meconium discharge time,anal stimulation defecation times,restore normal on- demand feeding time of children were significantly less than the control group,The daily defecate number of children in the study group was more than the control group; Total effective rate（ 93. 5%） was more than the control group（ 83. 9%）,the difference was statistically significant（ P〈0. 05）; Two groups of children with no obvious adverse reactions during treatment. Conclusion Touch with point massage combined of nonnutritive sucking for the treatment of neonatal vomiting has obvious improvement effect,it is worthy of clinical promotion.