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李艳民,申秋丽,张艳,王志燕,孙园园,董亚平.穴位按摩对极低出生体质量儿胃肠功能及生长发育的影响[J].湖南中医药大学学报,2020,40(3):342-346[点击复制] |
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| 穴位按摩对极低出生体质量儿胃肠功能及生长发育的影响 |
| 李艳民,申秋丽,张艳,王志燕,孙园园,董亚平 |
| (邯郸市第一医院新生儿科, 河北 邯郸 056000) |
| 摘要: |
| 目的 探讨穴位按摩对极低出生体质量儿胃肠功能及生长发育的影响。方法 选择2018年2月至2019年1月本院新生儿科收治的88例极低出生体质量儿，采用随机数字表法将患儿分为2组，每组44例。对照组参照《早产儿管理指南》进行常规早产儿管理，观察组在此基础上加以穴位按摩。观察对比两组患儿的疗效、胃肠道功能、生长发育情况及安全性指标。结果 观察组总有效率为84.09%，明显高于对照组的63.64%（P<0.05）。两组患儿干预后胃动素、胃泌素及血管活性肠肽水平均明显高于干预前（P<0.05），且干预后观察组上述指标均高于对照组（P<0.05）。观察组恢复至出生体质量时间明显较对照组短（P<0.05），21 d时体质量平均日增长量及21 d头围增长量明显大于对照组（P<0.05）。对照组患儿在治疗期间未出现明显的不良反应，观察组出现1例皮疹，两组差异无统计学意义（P>0.05）。结论 穴位按摩联合常规早产儿管理对极低出生体质量儿疗效明显优于单纯常规早产儿管理，可明显改善患儿喂养不耐受和胃肠功能，促进其生长发育，具有较高的安全性。 |
| 关键词: 极低出生体质量儿 穴位按摩 胃肠功能 生长发育情况 |
| DOI：10.3969/j.issn.1674-070X.2020.03.019 |
| 投稿时间：2019-06-05 |
| 基金项目:河北省中医药管理局科研计划项目（2017295）。 |
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| Effects of Acupoint Massage on Gastrointestinal Function and Growth of Very Low Birth Weight Infants |
| LI Yanmin,SHEN Qiuli,ZHANG Yan,WANG Zhiyan,SUN Yuanyuan,DONG Yaping |
| (Department of Neonatology, The First Hospital of Handan City, Handan, Hebei 056000, China) |
| Abstract: |
| Objective To investigate the effects of acupoint massage on gastrointestinal function and growth of very low birth weight infants. Methods A total of 88 very low birth weight infants admitted to our hospital from February 2018 to January 2019 were enrolled. The children were divided into two groups by random number table, with 44 cases in each group. The control group was administered conventional premature infants according to the Management Guide for Premature Infants, and the observation group was given acupoint massage on this basis. The efficacy, gastrointestinal function, growth and development and safety indicators of the two groups were compared. Results The total effective rate of the observation group was 84.09%, which was significantly higher than 63.64% of the control group (P<0.05). The levels of motilin, gastrin and vasoactive intestinal peptide of the two groups were significantly higher than before intervention (P<0.05). The above indicators in the observation group were higher than the control group (P<0.05). The time of returning to birth weight in the observation group was significantly shorter than that in the control group (P<0.05). On the 21st day, the average daily growth of body weight and the growth of head circumference were significantly greater than those in the control group (P<0.05). There were no obvious adverse reactions during the treatment in the control group, and 1 case of rash occurred in the observation group. There was no significant difference between the two groups (P>0.05). Conclusion Acupoint massage combined with conventional preterm infant management has significantly better efficacy than conventional preterm infant management alone, which can significantly improve the feeding intolerance and gastrointestinal function of children with low birth weight, promote their growth and development, and have higher safety. |
| Key words: very low birth weight infant acupoint massage gastrointestinal function growth and development |
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