腹部环形按摩结合早期游泳对新生儿黄疸症状、胆红素及炎性因子水平的影响

Influence of abdominal circular massage combined with early swimming for the symptoms, bilirubin and inflammatory factors levels in neonatal jaundice

目的探讨腹部环形按摩结合早期游泳在新生儿黄疸护理中的应用价值。方法选择2016年7月至2018年3月深圳市龙华区中心医院诊治的104例新生儿黄疸患儿为研究对象,采取随机数字表法将其分为观察组和对照组,每组52例患儿。观察组患儿在对照组基础上,实施腹部环形按摩与早期游泳;对照组患儿行常规护理。观察两组患儿排便和黄疸消退情况,干预前后黄疸指数、胆红素和炎性因子变化。结果观察组患儿胎便初排时间、胎便转黄时间、黄疸消退时间均明显短于对照组患儿,每日排便次数、每日进奶量均明显多于对照组患儿,其差异均具有统计学意义(均P<0.05)。干预前,两组患儿黄疸指数、血清总胆红素水平比较,其差异均无统计学意义(均P>0.05);干预后,观察组患儿上述指标水平均明显低于对照组患儿,其差异均具有统计学意义(均P<0.05)。干预前,两组患儿炎性因子水平比较,其差异均无统计学意义(均P>0.05);干预后,观察组患儿血清CRP、IL-2、IL-6水平明显低于对照组患儿,其差异均具有统计学意义(均P<0.05)。结论在新生儿黄疸护理中,应用腹部环形按摩结合早期游泳,可促进黄疸症状消退,降低胆红素和炎性因子水平,值得推广。

Objective To probe into the application value of abdominal circular massage combined with early swimming in neonatal jaundice nursing.Methods 104 cases of neonatal jaundice treated from July 2016 to March 2018 in our hospital were divided into the control group and the observation group by the random number table method,52 cases in each group.The control group received routine nursing,while the observation group received abdominal circular massage and early swimming on the basis of the control group.Then,the defecation and jaundice subsided,changes in jaundice index,bilirubin and inflammatory factors before and after intervention in the two groups of children were observed.Results The initial defecation time,the time of meconium turned yellow and the time of jaundice subsiding in the observation group were significantly shorter than those in the control group,and the frequency of daily defecation and daily milk intake was significantly higher than that in the control group,all with statistically significant differences(all P<0.05).There was no significant difference in the icteric index and serum total bilirubin level between the two groups before intervention(all P>0.05).After intervention,the levels of the above indexes in the observation group were significantly lower than those in the control group,with statistically significant difference(all P<0.05).After intervention,the serum levels of CRP,IL-2 and IL-6 in the observation group were significantly lower than those in the control group,with statistically significant differences(all P<0.05).Conclusions In the neonatal jaundice nursing,the application of abdominal circular massage combined with early swimming can promote jaundice symptoms subsiding and reduce bilirubin and inflammatory factor levels,thusly worth promoting.