经络调理预防新生儿高胆红素血症的临床研究

发布时间：2018-02-15 00:30

本文关键词： 高胆红素血症新生儿经络调理预防　出处：《浙江大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的探讨经络调理对新生儿黄疸早期干预的效果及其在降低新生儿经皮胆红素值和新生儿高胆红素血症的发病率方面的应用价值,以期在新生儿高胆红素血症的预防领域取得新的成效。方法选取浙江省中医院妇儿中心经过系统检查和评估,符合纳入标准的正常新生儿为研究对象,采用随机对照方法分组研究。干预组90例,在新生儿常规护理基础上,提供经络调理——“辨体施术”保健方案；对照组90例,给予新生儿常规护理。记录新生儿每天的经皮胆红素(TCB值)、第一次排黄便时间、住院期间每天排大便次数、住院期间每天的体重及新生儿出生第6天、14、28天的体重及TCB值、新生儿出生第1天、第28天的中医生理特点辨识结果,当TCB值达高胆红素血症水平时,检测血清总胆红素,最后,结合应用spss16.0for windows的数据处理系统,对经络调理干预的结果进行评估、分析及总结。结果 ①干预组新生儿黄疸指数及高胆红素血症发病率较低,与对照组相比有显著差异(P0.05)。②干预组新生儿第一次排黄便时间明显缩短,每天的排黄便次数明显增加,与对照组相比差异有显著性(PO.01)③干预组新生儿生理性体重下降的幅度较小,第28天时的体重较重,与对照组相比具有显著性差异(P0.05)④干预组新生儿生理状态偏颇的改善(即由偏热或偏寒状态转为平衡状态)与对照组相比差异有显著性(P0.05) 结论 ①经络调理可以降低新生儿胆红素值及高胆红素血症的发生率。②经络调理能够改善新生儿生理状态,促进小儿生长发育。
[Abstract]:Purpose. To explore the effect of meridian conditioning on the early intervention of neonatal jaundice and its application value in reducing the value of percutaneous bilirubin and the incidence of neonatal hyperbilirubinemia. In order to achieve new results in the prevention of neonatal hyperbilirubinemia. Method. The women and children center of Zhejiang traditional Chinese medicine hospital was selected as the research object, 90 cases of intervention group, based on the routine nursing care of newborns, were selected as the research objects, and the normal newborns who met the inclusion criteria were selected as the research objects, and were divided into two groups by using the randomized control method. The routine nursing of newborns was given in the control group (90 cases). The daily value of TCB of percutaneous bilirubin was recorded, the first time of yellow defecation and the times of defecation per day during hospitalization were recorded. The body weight of each day during hospitalization, the body weight and TCB value of the newborn on the 6th day of birth, the physiological characteristics of TCM on the first day and the 28th day of the newborn were identified. When the TCB value reached the level of hyperbilirubinemia, the serum total bilirubin was measured. The data processing system of spss16.0for windows is used to evaluate, analyze and summarize the intervention results of meridians and collaterals. Results. 1 the incidence of neonatal jaundice index and hyperbilirubinemia in the intervention group was lower than that in the control group. Compared with the control group, there was a significant difference between the intervention group and the control group. The physiological weight loss of neonates in the intervention group was smaller than that in the control group, and the weight at the 28th day was heavier than that in the control group. There was significant difference between the control group and the control group in the improvement of the physiological state of the neonates in the intervention group (i.e., from the hot or cold state to the equilibrium state), there was a significant difference between the control group and the control group (P0.05). Conclusion. 1Meridian conditioning can reduce neonatal bilirubin and the incidence of hyperbilirubinemia .2 Meridian conditioning can improve the physiological state of newborn and promote the growth and development of children.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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