捏脊对早产低体重儿生长发育及血清瘦素的影响

发布时间：2018-05-05 02:09

  本文选题：捏脊疗法 + 早产儿　； 参考：《广州中医药大学》2015年硕士论文

【摘要】：目的：探讨捏脊对早产低体重儿生长发育及血清瘦素的影响。方法：选取60例早产低体重儿为研究对象,随机分为对照组(n=30)和观察组(n=30)。对照组给予常规护理,观察组在对照组的基础上给予捏脊疗法。比较两组早产低体重儿0月龄(出生第3天)与1月龄时血清瘦素水平的变化,及0月龄(出生第3天)、1月龄、2月龄、3月龄、4月龄、5月龄及6月龄时体重、身长、头围、胸围的变化。结果：(1)0月龄(出生第3天)时,两组早产低体重儿血清瘦素水平比较无统计学差异(P0.05)。1月龄时,观察组血清瘦素水平为(3.1±0.3)μ g/L,对照组为(2.5±0.3)μ g/L组间比较具有统计学差异(P0.05)。 (2)0月龄(出生第3天)时,两组早产低体重儿体重比较无统计学差异(P0.05)。1月龄、2月龄、3月龄、4月龄、5月龄及6月龄时,观察组体重分别为(2955.5±154.3)g、(3645.6±130.9)g、(4366.2±144.7)g、(4995.5±147.6)g、(5730.4±124.4)g、(6499.3±116.5)g,对照组分别为(2838.8±156.5)g、 (3560.6±123.8)g、(4218.4±174.9)g、(4914.3±159.5)g、(5628.3±123.6)g、(6416.1±188.3)g,组间比较具有统计学差异(P0.05)。(3)0月龄(出生第3天)时,两组早产低体重儿身长比较无统计学差异(P0.05)。1月龄、2月龄、3月龄、4月龄、5月龄及6月龄时,观察组身长分别为(51.7±1.0)cm、(55.1±1.1)cm、(59.0±1.4)cm. (62.3±0.9)cm、(65.3±1.1)cm、(66.9±1.0)cm,对照组分别为(50.7±1.6)cm、(54.2±1.5)cm、(58.1±1.0)cm、(61.2±1.6)cm、(64.4±1.5)cm、(65.9 ±1.4)cm,组间比较具有统计学差异(P0.05)。(4)0月龄(出生第3天)时,两组早产低体重儿头围比较无统计学差异(P0.05)。1月龄、2月龄、3月龄、4月龄、5月龄及6月龄时,观察组头围分别为(35.2±0.9)cm、(37.7±1.2)cm、 (40.0±1.1)cm、(40.3±0.8)cm、(42.3±0.9)cm、(44.4±0.9)cm,对照组分别为(34.3±1.1)cm、(36.8±1.8)cm、(38.8±1.0)cm、(39.6±1.0)cm、 (41.5±0.9)cm、(43.5±0.8)cm,组间比较具有统计学差异(P0.05)。(5)0月龄(出生第3天)时,两组早产低体重儿胸围比较无统计学差异(P0.05)。1月龄、2月龄、3月龄、4月龄、5月龄及6月龄时,观察组胸围分别为(34.5±0.7) cm、(36.4±0.7)cm、(37.3±0.7)cm、(39.5±0.7)cm、(41.5±0.8)cm、(42.0 ±0.9)cm,对照组分别为(33.6±1.2)cm、(35.8±0.7)cm、(36.6±0.8)cm、 (38.5±0.8)cm、(40.9±0.8)cm、(41.4±0.7)cm,组间比较具有统计学差异(P0.05)。(6)重复测量资料方差分析结果示：两组早产低体重儿体重、身长、头围及胸围的时间因素比较具有显著性意义(P0.05)；组间比较差异具有显著意义(P0.05)。结论：采用捏脊疗法对早产低体重儿进行护理,可有效提高早产低体重儿血清瘦素浓度,促进早产低体重儿生长发育,值得临床推广应用。
[Abstract]:Objective: to investigate the effect of chiropractic on the growth and development of premature low birth weight infants and serum leptin. Methods: 60 premature infants with low birth weight were randomly divided into control group (n = 30) and observation group (n = 30). The control group was given routine nursing and the observation group was given chiropractic therapy on the basis of the control group. The changes of serum leptin levels at 0 month old (3rd day of birth) and 1 month old were compared between the two groups, and the body weight, body length and head circumference of 0 month old (3 month old / 2 month old / 3 month old / 4 month old / 5 month old and 6 month old) were compared. A change in the chest circumference. Results there was no significant difference in serum leptin levels between the two groups at the age of 1 to 1 month (on the third day of birth). The serum leptin levels were 3.1 卤0.3 渭 g / L in the observation group and 2.5 卤0.3 渭 g / L in the control group. There was no significant difference in body weight of preterm low birth weight infants between the two groups at 0 month old (3 th day of birth). P0. 05 and 1. 1 months of age, 3 months old, 3 months old, 4 months old, 5 months old and 6 months old, there was no statistical difference between the two groups. 瑙傚療缁勪綋閲嶅垎鍒�涓�(2955.5卤154.3)g,(3645.6卤130.9)g,(4366.2卤144.7)g,(4995.5卤147.6)g,(5730.4卤124.4)g,(6499.3卤116.5)g,瀵圭収缁勫垎鍒�涓�(2838.8卤156.5)g, (3560.6卤123.8)g,(4218.4卤174.9)g,(4914.3卤159.5)g,(5628.3卤123.6)g,(6416.1卤188.3)g,缁勯棿姣旇緝鍏锋湁缁熻�″�﹀樊寮，

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