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目的:探讨中药游泳与抚触对新生儿黄疸的干预效果。方法:选取2016年4月至2017年4月大埔县人民医院150例行剖宫产的新生儿进行研究,并随机分为两组,每组75例,对照组采用清水游泳,观察组则采用中药游泳加抚触干预,比较两组新生儿的胎粪排出时间、胎粪转黄时间以及黄疸发生的时间和程度。结果:(1)观察组的胎粪转黄、退黄时间均显著短于对照组,高胆红素血症的发生率为6.67%,显著低于对照组的17.33%,差异具有统计学意义(P<0.05)。(2)观察组新生儿第3~6天的血清胆红素则显著低于对照组,差异具有统计学意义(P<0.05)。(3)两组新生儿均未发生不良反应。结论:中药游泳加抚触能加速新生儿胎粪排泄和胎粪转黄的时间,减轻黄疸症状,降低高胆红素血症的发生,而且无不良反应,干预效果显著。
Objective: To investigate the intervention effect of traditional Chinese medicine swimming and touching on neonatal jaundice. Methods: From April 2016 to April 2017, 150 newborns undergoing caesarean section in Dapu County People’s Hospital were selected and randomly divided into two groups, 75 cases in each group. The control group was treated with water and the observation group was Chinese herbal medicine swimming and touching intervention were used to compare the time of meconium discharge, the time of meconium turning yellow and the occurrence of jaundice in two groups of neonates. Results: (1) The observation group of meconium turning yellow, yellowing time were significantly shorter than the control group, the incidence of hyperbilirubinemia was 6.67%, significantly lower than the control group, 17.33%, the difference was statistically significant (P <0.05). (2) The serum bilirubin in observation group was significantly lower than that in control group on the 3rd to 6th day, the difference was statistically significant (P <0.05). (3) No adverse reactions occurred in both groups of newborns. Conclusion: Chinese medicine swimming and touching can accelerate neonatal meconium excretion and meconium turning yellow time, reduce jaundice symptoms, reduce the incidence of hyperbilirubinemia, and no adverse reactions, the intervention effect is remarkable.