捏脊疗法联合蓝光照射对病理性黄疸患儿的干预效果

Intervention effect of chiropractic combined with blue light phototherapy on children with pathological jaundice

目的探究捏脊疗法联合蓝光照射对病理性黄疸患儿的干预效果。方法选取南华大学附属第二医院于2018年4月至2020年3月收治的130例病理性黄疸患儿为研究对象,采用随机数字表法分为观察组(65例)和对照组(65例)。对照组患儿采用对症治疗+蓝光照射进行干预,观察组患儿在对照组干预方案的基础上采用捏脊疗法进行干预。比较2组患儿的血清胆红素指标、黄疸程度、黄疸消退时间和住院时间。结果干预2 d后,2组的总胆红素(TBIL)、直接胆红素(DBIL)和间接胆红素(IBIL)水平均显著低于同组干预前(P均<0.01),且观察组均低于对照组(P均<0.05);干预4 d后,2组的TBIL、DBIL和IBIL水平均显著低于同组干预前和干预2 d后(P均<0.01),且观察组均显著低于对照组(P均<0.01)。干预2 d和4 d后,2组的黄疸程度均较同组干预前有所改善(P均<0.05),且观察组的整体改善程度均优于同期对照组(P均<0.05),尤其对重度黄疸的改善程度显著优于同期对照组(P均<0.01)。观察组的黄疸消退时间显著早于对照组(P<0.01),住院时间显著短于对照组(P<0.01)。结论捏脊疗法联合蓝光照射可有效降低病理性黄疸患儿的血清TBIL、DBIL和IBIL水平,改善其黄疸程度,加快黄疸消退,并缩短其住院时间。

Objective To explore the intervention effect of chiropractic combined with blue light phototherapy on children with pathological jaundice.Methods A total of 130 children with pathological jaundice admitted to the Second Hospital,University of South China from April 2018 to March 2020 were selected and divided into an observation group(65 cases)and a control group(65 cases)by a random number table.The control group was intervened by symptomatic treatment and blue light phototherapy,and the observation group was intervened by chiropractic on the basis of the control group.The serum bilirubin indicators,degree of jaundice,jaundice resolution time,and length of hospital stay were compared between the two groups.Results After 2 days of intervention,the levels of total bilirubin(TBIL),direct bilirubin(DBIL)and indirect bilirubin(IBIL)in the two groups were significantly lower than those before the intervention(all P<0.01),and the levels of the observation group were lower than those of the control group(all P<0.05).After 4 days of intervention,the levels of TBIL,DBIL and IBIL in the two groups were significantly lower than those before the intervention and after 2 days of intervention(all P<0.01),and the levels of the observation group were significantly lower than those of the control group(all P<0.01).After 2 and 4 days of intervention,the degree of jaundice in the two groups was significantly improved compared with that before the intervention(all P<0.05),and the overall improvement in the observation group was significantly better than that in the control group(all P<0.05),especially for the improvement of severe jaundice(both P<0.01).The jaundice subsidence time of the observation group was significantly earlier than that of the control group(P<0.01),and the hospitalization time was significantly shorter than that of the control group(P<0.01).Conclusion Chiropractic combined with blue light phototherapy can effectively reduce the levels of TBIL,DBIL and IBIL in children with pathological jaundice,improve the degree of jaundice,accelerate the resolution of jaundice,and shorten the length of hospital stay.