本文關鍵詞： 高膽紅素血癥 新生兒 經(jīng)絡調(diào)理 預防　出處：《浙江大學》2012年碩士論文　論文類型：學位論文

【摘要】：目的 探討經(jīng)絡調(diào)理對新生兒黃疸早期干預的效果及其在降低新生兒經(jīng)皮膽紅素值和新生兒高膽紅素血癥的發(fā)病率方面的應用價值,以期在新生兒高膽紅素血癥的預防領域取得新的成效。 方法 選取浙江省中醫(yī)院婦兒中心經(jīng)過系統(tǒng)檢查和評估,符合納入標準的正常新生兒為研究對象,采用隨機對照方法分組研究。干預組90例,在新生兒常規(guī)護理基礎上,提供經(jīng)絡調(diào)理——“辨體施術”保健方案；對照組90例,給予新生兒常規(guī)護理。記錄新生兒每天的經(jīng)皮膽紅素(TCB值)、第一次排黃便時間、住院期間每天排大便次數(shù)、住院期間每天的體重及新生兒出生第6天、14、28天的體重及TCB值、新生兒出生第1天、第28天的中醫(yī)生理特點辨識結(jié)果,當TCB值達高膽紅素血癥水平時,檢測血清總膽紅素,最后,結(jié)合應用spss16.0for windows的數(shù)據(jù)處理系統(tǒng),對經(jīng)絡調(diào)理干預的結(jié)果進行評估、分析及總結(jié)。 結(jié)果 ①干預組新生兒黃疸指數(shù)及高膽紅素血癥發(fā)病率較低,與對照組相比有顯著差異(P0.05)。②干預組新生兒第一次排黃便時間明顯縮短,每天的排黃便次數(shù)明顯增加,與對照組相比差異有顯著性(PO.01)③干預組新生兒生理性體重下降的幅度較小,第28天時的體重較重,與對照組相比具有顯著性差異(P0.05)④干預組新生兒生理狀態(tài)偏頗的改善(即由偏熱或偏寒狀態(tài)轉(zhuǎn)為平衡狀態(tài))與對照組相比差異有顯著性(P0.05) 結(jié)論 ①經(jīng)絡調(diào)理可以降低新生兒膽紅素值及高膽紅素血癥的發(fā)生率。②經(jīng)絡調(diào)理能夠改善新生兒生理狀態(tài),促進小兒生長發(fā)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.
【學位授予單位】：浙江大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R272

【參考文獻】

相關期刊論文 前10條

1 韓艷賓;吳振霞;;撫觸在新生兒高膽紅素血癥早期干預中的應用[J];中國兒童保健雜志;2007年01期

2 覃桂榮;雪麗霜;譚紅;隆秀益;劉素娥;黃瑩瑩;徐明;凌靜;;游泳對新生兒末梢血膽紅素的影響[J];護士進修雜志;2006年01期

3 高樹彬;小兒體質(zhì)調(diào)理初探[J];福建中醫(yī)學院學報;2003年02期

4 曾華;;游泳與撫觸對新生兒黃疸的干預效果觀察[J];廣東醫(yī)學;2006年04期

5 涂燕青,虞靖虹,江月明,封稚;早期干預對新生兒黃疸的預防作用[J];廣東醫(yī)學院學報;2004年01期

6 蒙林,崔艷萍,董秋燕,陳靜;游泳對新生兒膽紅素影響的臨床研究[J];贛南醫(yī)學院學報;2005年01期

7 胡顰 ,陳麗 ,王薇 ,石碧珍;開塞露減輕新生兒黃疸的臨床觀察[J];貴州醫(yī)藥;2002年04期

8 錢竹珍,葉君兒;胎毒清臍敷防治新生兒黃疸效果觀察[J];護理學雜志;2003年10期

9 徐雪梅,陳冬菊,涂敏娟;游泳與撫觸預防新生兒高膽紅素血癥的研究[J];護理學雜志;2004年21期

10 李先林;趙新霞;劉燹;周松潔;;人工排便法預防新生兒黃疸[J];護理學雜志;2006年15期

，

本文編號：1511994