抚触联合捏脊对新生儿黄疸的改善效果

Improvement effect of touch combined with chiropractic on neonatal jaundice

目的探讨抚触联合捏脊对新生儿黄疸的改善效果。方法选取2022年3月至2023年3月我院收治的120例黄疸新生儿为研究对象,按照入院顺序的不同将其分为对照组(60例,常规护理)及观察组(60例,常规护理+抚触联合捏脊)。比较两组患儿的护理效果。结果护理3 d后,观察组的总胆红素(TBIL)、直接胆红素(DBIL)和间接胆红素(IBIL)水平低于对照组,差异具有统计学意义(P<0.05)。护理3 d后,观察组的新生儿行为神经测定法(NBNA)各维度评分高于对照组,差异具有统计学意义(P<0.05)。观察组的黄疸消退时间、胆红素值恢复正常时间及住院时间短于对照组,差异具有统计学意义(P<0.05)。观察组的不良反应总发生率低于对照组,差异具有统计学意义(P<0.05)。观察组家属的满意度为96.67%,明显高于对照组的83.33%,差异具有统计学意义(P<0.05)。结论抚触联合捏脊可显著减轻新生儿黄疸患儿的症状,提高神经功能,降低不良反应发生率,促进患儿恢复,且患儿家属的满意度较高。

Objective To explore the improvement effect of touch combined with chiropraction on neonatal jaundice.Methods A total of 120 neonates with jaundice admitted in our hospital from March 2022 to March 2023 were selected as the research objects.According to the order of admission,the neonates were divided into control group(60 cases,routine nursing)and observation group(60 cases,routine nursing+touch combined with chiropractic).The nursing effects of the two groups were compared.Results After 3 d of nursing,the levels of total bilirubin(TBIL),direct bilirubin(DBIL)and indirect bilirubin(IBIL)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After 3 d of nursing,the scores of each dimension of Neonatal Behavioral Neurological Assessment(NBNA)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The jaundice regression time,bilirubin value recovery time and hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction of family members in the observation group was 96.67%,which was significantly higher than 83.33%in the control group,and the difference was statistically significant(P<0.05).Conclusion Touch combined with chiropractic can significantly relieve the symptoms of neonates with jaundice,improve neurological function,reduce the incidence of adverse reactions,and promote the recovery;the satisfaction of children's family members is high.