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【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 acupoint massage plus touch therapy on pathological jaundice in preterm infants based on the routine blue light irradiation treatment. 【Methods】 90 children were divided into control group 1, control group 2 and treatment group, 30 cases in each group. Control group 1 was given routine treatment (including blue light yellowing plus vitamin B2 oral), the control group 2 in the control group 1 on the basis of touch therapy, the treatment group in the control group 2 to give acupressure treatment, continuous treatment 7 d. The change of transdermal bilirubin (TCB), total bilirubin (TB) and direct bilirubin (DB) in each group were observed before and after treatment. The therapeutic effect of jaundice in each group was compared. 【Results】 After treatment, the overall clinical curative effect and daily decrease of TCB, TB and DB in treatment group were significantly better than those in control group 1 and control group 2 (P <0.05 or P <0.01) . The mean decrease of TB after treatment in control group 2 and the decrease of TCB on days 4 to 7 in treatment group were significantly better than those in control group 1 (P <0.05). 【Conclusion】 Acupoint massage combined with touch-sensitive intervention has obvious curative effect on pathological jaundice in preterm infants, and it is safe, simple and convenient.