穴位按摩联合抚触在早产儿病理性黄疸中的应用研究

Application of Acupoint Massage Plus Body Massage for Intervention of Premature Pathological Jaundice

【目的】观察在进行常规蓝光照射退黄治疗的基础上,增加穴位按摩加抚触治疗方法对早产儿病理性黄疸的干预效果。【方法】将90例患儿随分为对照1组、对照2组和治疗组,每组各30例。对照1组给予常规治疗(包括蓝光照射退黄加维生素B2口服),对照2组在对照1组的基础上给予抚触治疗,治疗组在对照2组的基础上给予穴位按摩治疗,连续治疗7 d。观察各组治疗前后经皮胆红素(TCB)、血清总胆红素(TB)、血清直接胆红素(DB)水平变化情况,并比较各组患儿的黄疸治疗效果。【结果】治疗后,治疗组的总体临床疗效以及每日TCB、TB、DB的下降幅度均明显优于对照1组和对照2组,差异均有统计学意义(P<0.05或P<0.01);对照2组治疗后平均TB下降幅度及治疗第4~7天的TCB下降幅度均明显优于对照1组,差异均有统计学意义(P<0.05)。【结论】穴位按摩联合抚触干预早产儿病理性黄疸疗效明显,而且安全、简单、方便。

Objective To observe the intervention effect of premature pathological jaundice treated with conventional blue light phototherapy combined with acupoint massage plus body massage. Methods Ninety premature infants with pathological jaundice were randomized into control group 1, control group 2 and observation group,30 cases in each group. The control group 1 was given blue light phototherapy plus oral use of vitamin B2,the control group 2 was given body massage based on the treatment for the control group 1,and observation group was given acupoint massage based on the treatment for the control group 2,the treatment for the three groups lasting for 7 continuous days. Before and after treatment,the levels of transcutaneous bilirubin（TCB）,serum total bilirubin（TB）,and serum direct bilirubin（DB）were observed,and then the therapeutic effects on jaundice in the three groups were compared. Results After treatment, the overall therapeutic effectand the daily decline of TCB, TB and DB in the observation group were superior to those in the two control groups, the difference being significant（P 〈0.05 or P 〈0.01）. In the control group 2, the post-treatment average decline of TB and the decline of TCB on treatment day 4-7 were superior to those in the control group1,the difference being significant（P〈 0.05）. Conclusion Acupoint massage plus body massage is effective and safe for the treatment of pathological jaundice in premature infants, and the therapy being simple and practical.