摘要
目的探讨按摩灌肠对早产儿黄疸及喂养的影响。方法将70例早产儿随机分为按摩灌肠组(25例)、单纯按摩组(25例)和空白对照组(20例),按摩灌肠组、单纯按摩组早期分别给予按摩灌肠和单纯按摩,空白对照组给予常规治疗护理,连续2周后评价效果。结果按摩灌肠组黄疸持续时间、光疗时间显著短于另两组(均P<0.01),住院满2周早产儿TCB值第12天、第14天按摩灌肠组显著低于另两组(均P<0.05);治疗第5天、第7天总便次按摩灌肠组显著多于另两组,胎粪排尽时间较空白对照组显著缩短(均P<0.01);三组喂养不耐受及便秘发生率比较,差异有显著性意义(均P<0.01)。结论早产儿出生后尽早实行按摩灌肠能促进胃肠蠕动,有利于胎粪较早较多地排出,缩短黄疸持续时间,减轻黄疸程度,有助于早产儿顺利渡过营养关。
Objective To explore the influence of enema combined with massage on jaundice and feeding in premature infants. Methods A total of 70 premature infants were randomly divided into an enema combined with massage group （25 cases）, an abdominal massage group （25 cases） and a control group （20 cases）. The infants in the former two groups were given enema combined with massage and abdominal massage respectively, while those in the control group were given routine nursing and treatment. Effects were evaluated after two weeks. Results Compared with the other two groups, in the enema combined with massage group, the time for jaundice lasting and phototherapy were significantly shortened （P〈0.01 for all）, transcutaneous bilirubin values at 12 th, 14 th day of those hospitalized for at least two weeks were lowered （P〈0.05 for all）, total defecation times in the first five days and seven days signifinantly increased （P〈0.01 for all）, the time for meconium discharge was significantly shorter in enema combined with massage group than control group （P〈0.01）. The incidences of constipation and feeding intolerance showed significant differences in the 3 groups （P〈0.01 for both）. Conclusion Early implementation of enema combined with massage on premature infants can promote the intestinal movement and discharge of meconium, shorten persistence of jaundice, lessen severity of jaundice and help premature infants smooth feeding.
出处
《护理学杂志（综合版）》
2008年第5期36-38,共3页
Journal of Nursing Science
基金
江苏省发改委资助项目(2004419)
关键词
早产儿
黄疸
灌肠
按摩
喂养
premature infants
jaundice
enema
massage
feeding
