四磨汤联合新生儿抚触治疗早产儿喂养不耐受的临床疗效观察

Clinical Observation on the Therapeutic Effect of Simo Decoction Combined with Neonatal Touch in the Treatment of Feeding Intolerance in Premature Infants

目的探讨四磨汤联合新生儿抚触治疗早产儿喂养不耐受的临床效果。方法选取2022年1月至6月赣州市妇幼保健院收治的40例喂养不耐受早产儿作为对照组,另选2022年7月至12月收治的40例喂养不耐受早产儿为观察组。对照组行常规治疗,观察组在对照组基础上予以四磨汤联合新生儿抚触治疗,比较两组临床疗效、血清学指标、恢复情况、生长发育情况。结果观察组总有效率高于对照组(P<0.05);观察组治疗后血糖、前白蛋白、血红蛋白水平均高于对照组,总胆红素水平低于对照组(P<0.05);观察组呕吐、腹胀消失时间、达全胃肠喂养时间、胎便排空时间均短于对照组;观察组纠正胎龄40周时体质量高于对照组,身长长于对照组(P<0.05)。结论四磨汤联合新生儿抚触治疗早产儿喂养不耐受效果显著,可加快呕吐、腹胀症状消失,改善血清学指标,缩短达全胃肠喂养时间,促进机体生长发育。

Objective To explore the clinical effect of simo decoction combined with neonatal touch in the treatment of feeding intolerance in premature infants.Methods 40 premature infants with feeding intolerance admitted to Ganzhou Maternal and Child Health Hospital from January to June 2022 were selected as the control group,and another 40 premature infants with feeding intolerance admitted from July to December 2022 were selected as the observation group.The control group received routine treatment,while the observation group received an additional treatment of simo decoction combined with neonatal touch.The clinical efficacy,serological indicators,recovery,and growth and development of the two groups were compared.Results The total effective rate of the observation group was higher than that of the control group(P<0.05);after treatment,the blood glucose,prealbumin,and hemoglobin levels in the observation group were higher than the control group.The total bilirubin level was lower than the control group(P<0.05);the time for vomiting,abdominal distension disappearance,total gastrointestinal feeding,and fecal emptying in the observation group were shorter than the control group(P<0.05);the corrected gestational age of the observation group at 40 weeks was higher than the control group,and the body length was longer than the control group(P<0.05).Conclusion The combination of simo decoction and neonatal touch has a significant effect on the treatment of feeding intolerance in premature infants.It can accelerate the disappearance of vomiting and bloating,improve serological indicators,shorten the time to complete gastrointestinal feeding,and promote body growth and development.