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目的研究早期功能性吸吮对新生儿黄疸的影响。方法对同期出生的足月健康新生儿430例,按常规在出生后1h内进行早吸吮,并由专人进行母乳喂养知识与技巧的指导,提倡早期功能性吸吮。记录新生儿每天吸吮次数和排胎便次数、第1次排黄便的时间、母乳充盈的时间及出生后72h经皮测定黄疸指数值。根据新生儿每天吸吮母乳的次数(≥或<6次)分组,比较两组的黄疸指数值。结果 A组72h经皮测胆红素值低于B组;A组母乳充盈时间早于B组;吸吮次数越多,充盈时间越早。结论早期功能性吸吮有助于母乳分泌,减轻新生儿黄疸。
Objective To study the effect of early functional sucking on neonatal jaundice. Methods 430 full-term healthy newborn infants born at the same period were routinely sucked in within 1 hour after birth and were guided by special knowledge and skills in breast-feeding to promote early functional sucking. Record neonatal daily number of sucking and the number of placenta, the first time to defecation, breast filling time and after 72h percutaneous determination of jaundice index values. According to the number of newborns suck breast milk daily (≥ or <6 times) grouping, jaundice index values were compared between the two groups. Results The bilirubin value in group A at 72 hours was lower than that in group B; the breast-milk filling time in group A was earlier than that in group B; the more sucking times were, the earlier the filling time was. Conclusion Early functional sucking helps breast milk secretion, reduce neonatal jaundice.