ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2020, Vol. 12 ›› Issue (6): 565-.

• 中医应用研究 • 上一篇    

捏脊联合腹部推拿对早产儿喂养不耐受临床疗效观察

常霞,王莉,冯秀芳,侯国强,杨苗   

  1. 046000 山西 长治，长治市妇幼保健院新生儿科（常霞，王莉，冯秀芳，侯国强），中医科（杨苗
  • 出版日期:2020-12-25 上线日期:2021-05-14
  • 通讯作者: 王莉，E-mail：13994618777@163.com
  • 作者简介:常霞（1983-），女，医学硕士，主治医师。研究方向：新生儿疾病的基础与临床研究

Clinical efficacy of chiropractic combined with abdominal massage for feeding intolerance in premature infants

CHANG Xia, WANG Li, FENG Xiufang, HOU Guoqiang, YANG Miao   

  1. Neonatal Department of Changzhi Maternity and Child Health Care Hospital, Changzhi 046000，China
  • Published:2020-12-25 Online:2021-05-14

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摘要： 目的:观察捏脊联合腹部推拿对早产儿喂养不耐受的临床疗效。
方法:搜集2019年3月至2020年2月在我院新生儿科住院治疗的80例早产儿，随机分为对照组和观察组各40例。对照组予母乳或早产儿配方乳微量喂养，根据早产儿营养建议加用部分肠外静脉营养；观察组在对照组基础上加用捏脊联合腹部推拿。治疗1周后观察两组患儿症状评分、奶量、肠内营养热卡、治疗结束后3 d体质量、体质量差值及达到足量喂养的时间。
结果:治疗后两组患儿体质量比较差异无统计学意义（P>0.05）；观察组治疗前后体质量差值、奶量、肠内营养热卡均高于对照组，到达足量喂养时间低于对照组，差异有统计学意义（P<0.05）。治疗后观察组症状评分显著低于对照组，差异有统计学意义（P<0.05）。
结论:捏脊联合腹部推拿通过调理脾胃、运脾和胃治疗早产儿喂养不耐受，可减轻呕吐、促进肠内营养的恢复，疗效肯定。

关键词: 喂养不耐受, 早产儿, 捏脊, 腹部推拿

Abstract: Objective:To observe the clinical effect of chiropractic combined with abdominal massage for feeding intolerance of premature infants.
Methods:A total of 80 premature infants hospitalized in the Neonatal Department of our hospital from March 2019 to February 2020 were randomly divided into a control group(n=40) and treatment group(n=40).The control group was given micro-feeding of breast milk or formula milk for preterm infants, and parenteral intravenous nutrition was added according to the nutritional recommendations for premature infants. The treatment group was given chiropractic and abdominal massage in addition to the treatment for the control group. After one-week treatment，the following indexes were observed: the symptom score, milk volume, enteral nutrition calorie, weight at 3 days after treatment, weight difference and the time reaching full feeding.
Results:The weight of the infants had no statistical difference between the control group and the treatment group after treatment(P<0.05); the difference in body weight before and after treatment, milk volume, and enteral nutrition calories in the treatment group were higher than those in the control group, while the time reaching full feeding was lower，and the difference is significantly statistical(P<0.05).After treatment, the symptom score in treatment group was significantly lower than that in control group, the difference being statistical(P<0.05).
Conclusion:Chiropractic combined with abdominal massage can regulate the spleen and stomach to treat feeding intolerance in premature infants, which can reduce vomiting and promote the recovery of enteral nutrition. The effect is good.

Key words: Feeding intolerance, Premature infants, Chiropractic massage, Abdominal massage