捏脊疗法干预早产低体重儿的临床研究

Clinical research of chiropractic intervention on premature and low birth weight infants

目的观察捏脊疗法干预早产低体重儿的临床疗效。方法将160例早产低体重儿随机分为治疗组和对照组,每组80例。对照组给予西医常规干预与护理,治疗组在对照组干预措施基础上加予捏脊疗法。两组疗程均为住院期间,观察出院时体质量、经口喂养时间、住院时间及总胆红素、白细胞、C反应蛋白水平的变化情况。结果 1疗程结束后,两组出院体质量、经口喂养时间及住院时间比较,差异有统计学意义,治疗组出院体质量显著高于对照组,治疗组经口喂养时间、住院时间显著少于对照组(P<0.05)。2出生后及出院时组内比较,治疗组总胆红素、白细胞水平差异有统计学意义(P<0.05),对照组总胆红素、白细胞及C反应蛋白水平差异有统计学意义(P<0.05);组间出院时比较,总胆红素、白细胞及C反应蛋白水平差异有统计学意义,治疗组均显著低于对照组(P<0.05)。结论捏脊干预早产低体重儿,可促进其生长发育,缩短住院时间及经口喂养时间,预防新生儿黄疸的发生。

Objective To observe the clinical efficacy of chiropractic intervention on premature and low birth weight infants.Methods 160 cases of premature and low birth weight infants were randomly divided into the treatment group and control group,80 cases in each group.The control group was received routine treatment and nursing of western medicine,while the treatment group was given extra chiropractic therapy on the basis of treatment for the control group.The course of treatment for the two groups were both duration of hospital stay.The changes of weight at discharge,oral feeding time and hospitalization time,level of total bilirubin,white blood cell and C reactive protein were observed.Results 1 After treatment,there were statistically significant differences on the weight at discharge,oral feeding time and hospitalization time between the two groups,the weight at discharge of the treatment group was significantly heavier than that of the control group,and the oral feeding time and hospitalization time of the treatment group were significantly less than those of the control group（P〈0.05）.2Comparison between postnatal and discharge time within group,there were statistically significant differences on the level of total bilirubin and white blood cell in the treatment group（P〈0.05）,there were statistically significant differences on the level of total bilirubin,white blood cell and C reactive protein in the control group（P〈0.05）.At discharge time,there were statistically significant differences on the level of total bilirubin,white blood cell and C reactive protein between the two groups,and those of the treatment group were significantly lower than those of the control group（P〈0.05）.Conclusion Chiropractic intervention on premature and low birth weight infants could promote the growth and development,shorten the hospitalization time and oral feeding time and prevent the neonatal jaundice.