小儿推拿联合蓝光照射治疗新生儿高胆红素血症临床研究
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R248.4;R722.17

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Clinical Study on Infantile Massage Combined with Blue Light Irradiation for Newborns with Hyperbilirubinemia
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    摘要:

    目的:观察小儿推拿联合常规蓝光照射对新生儿高胆红素血症的治疗效果。方法:选择符合条件的158 例新生儿高胆红素血症患儿,按随机数字表法分为对照组(79 例) 和观察组(79 例)。对照组常规给予蓝光照射治疗并辅以常规护理;观察组在对照组的基础上加用小儿推拿治疗。观察对比2 组治疗效果、黄疸消退时间、住院时间、免疫功能[辅助性T 细胞(CD4+)、杀伤性T 细胞(CD8+) 水平]、血清总胆红素(TBil) 水平及生长发育情况。结果:观察组治愈率为65.82%,对照组为53.16%,2 组比较,差异有统计学意义(P<0.05)。观察组黄疸消退时间、住院时间短于对照组(P<0.05)。治疗后,2 组CD4+水平均较治疗前升高(P<0.05),CD8+水平降低(P<0.05);且观察组2 项指标改善较对照组更显著(P<0.05)。治疗后,2 组血清TBil 水平均较治疗前降低(P<0.05),且观察组血清TBil 水平低于对照组(P<0.05)。治疗后,2 组每天奶量、睡眠时间及体质量均较治疗前增高(P<0.05),且观察组每天奶量、睡眠时间及体质量高于对照组(P<0.05)。结论:小儿推拿联合蓝光照射治疗新生儿高胆红素血症患儿,可有效降低血清TBil 水平,改善免疫功能,提高患儿生长发育指标,疗效优于单纯蓝光照射治疗。

    Abstract:

    Abstract:Objective:To observe the clinical effect of infantile massage combined with blue light irradiation for newborns with hyperbilirubinemia. Methods: A total of 158 cases of newborns with hyperbilirubinemia were divided into the control group and the observation group according to the random number tale method,79 cases in each group. The control group was given blue light irradiation combined with routine nursing, and the observation group was additionally given infantile massage based on the treatment of the control group. The curative effect, the regression time of jaundice, the hospitalization time, immune function [levels of helper T cell(CD4 + ) and cytotoxic T lymphocyte(CD8 + )], the level of total bilirubin in serum(TBil), as well as child growth and development were observed and compared between the two groups. Results: The cure rate was 65.82% in the observation group, and 53.16% in the control group, the difference being significant(P<0.05). The regression time of jaundice and the hospitalization time in the observation group was earlier than that in the control group, the difference being significant(P<0.05). After treatment, levels of CD4 + in the two groups were increased when compared with those before treatment(P<0.05), and the level of CD8 + was decreased(P<0.05); the improvement of the two indexes in the observation group was more significant than that in the control group(P<0.05). After treatment,levels of TBil in serumin the two groups were decreased when compared with those before treatment(P<0.05), and the level in the observation group was lower than that in the control group(P<0.05). After treatment,milk consumption, sleep time,and body mass index per day in the two groups were increased when compared with those before treatment(P< 0.05),and the three indexes in the observation group were higher than those in the control group(P<0.05). Conclusion:In the treatment of newborns with hyperbilirubinemia,the therapy of infantile massage combined with blue light irradiation can effectively reduce the level of TBil in serum, improve immune function, and increase growth and development index of children. Its curative effect is better than that of simple blue light irradiation.

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徐双双,方杏香,王素萍.小儿推拿联合蓝光照射治疗新生儿高胆红素血症临床研究[J].新中医,2021,53(16):167-170

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  • 在线发布日期: 2021-08-23
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