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目的:探讨新生儿游泳对新生儿胎粪初排时间、转黄时间、新生儿体重变化及其黄疸的影响。方法:选择2007年3月～2008年5月在我院剖宫产的足月新生儿82例为观察组,新生儿出生后4～5 h进行游泳,第1天1次,以后每天2次,共10次,每次10～15 min。对照组为同期行剖宫产的64例新生儿,单纯沐浴。观察两组:①胎粪初排及转黄时间;②新生儿体重变化;③新生儿经皮胆红素测定情况。结果:游泳组孕周及新生儿出生体重与对照组比较无差异(P>0.05)。游泳组新生儿胎粪初排和转黄时间明显提前,新生儿生理性体重下降恢复快,与对照组比较差异有显著性(P<0.05)。游泳组平均黄疸指数第1天与对照组比较差异无显著性,第3、5天明显低于对照组,差异有显著性(P<0.01)。结论:新生儿游泳能促进胎粪尽早排出,可减少胆红素的重吸收,可在降低新生儿黄疽中起到重要作用。
Objective: To investigate the effects of neonatal swimming on the timing of neonatal meconium astrocyte, yellowing time, body weight changes and jaundice. Methods: From March 2007 to May 2008, 82 full-term neonates with cesarean section in our hospital were selected as the observation group. The newborn was swamd for 4 ~ 5 h after birth, once a day and twice a day thereafter , A total of 10 times, each 10 ~ 15 min. Control group for the same period of cesarean section 64 newborns, bathing alone. Two groups were observed: ① meconium ascites and turn yellow time; ② newborn weight changes; ③ neonatal transcutaneous bilirubin determination. Results: There was no significant difference in gestational age and newborn birth weight between swimming group and control group (P> 0.05). Neonatal meconium astrophia in swimming group and turn yellow time was significantly earlier, newborn physiological weight loss quickly restored, compared with the control group, the difference was significant (P <0.05). The average jaundice index in swimming group was no significant difference between the first day and the control group, and was significantly lower than the control group on the 3rd and 5th day (P <0.01). Conclusion: Neonatal swimming can promote the excretion of meconium as soon as possible, which can reduce the reabsorption of bilirubin and play an important role in reducing neonatal jaundice.