CAJ | 학술논문

目的探讨中医辨证法加减制成药浴水疗方进行水疗对新生儿血糖、经皮胆红素、呕吐、湿疹情况的影响.方法将396例新生儿(伴呕吐新生儿120例、早产儿或低体重儿76例、足月儿200例)随机分为对照组和药浴组各198例,对照组采用常规沐浴,药浴组在常规沐浴的基础上增加药浴水疗.比较新生儿药浴前后血糖值、两组出生后经皮胆红素值、新生儿发生呕吐、湿疹的变化情况.结果药浴后15 min38例早产儿或低体重儿足跟血糖第1,3天分别为(4.448±0.266),(4.457±0.314) mmol/L,与药浴前15 min[(4.509±0.274),(4.624±0.305) mmol/L]比较差异有统计学意义(t值分别为2.854,2.463；P ＜0.05)；出生后96,144h胆红素值药浴组38例早产儿或低体重儿分别为(158.12±36.81),(166.05±20.18) μmol/L,与对照组[(199.08±35.68),(189.16 ±7.98) μmol/L]比较,差异有统计学意义(t值分别为4.925,6.565；P＜0.01).伴呕吐新生儿药浴组总有效率91.7％,对照组为65.0％,差异有统计学意义(Z=3.619,P＜0.01).正常足月儿药浴组发生湿疹2例,对照组16例,差异有统计学意义(x2 =11.966,P＜0.01).结论药浴疗法可减少早产儿和低体重儿病理性黄疸的发生,降低黄疸程度,对新生儿呕吐和湿疹疗效显著,不失为一种值得推广的医疗保健方法.
목적 탐토중의변증법가감제성약욕수료방진행수료대신생인혈당、경피담홍소、구토、습진정황적영향.방법 장396례신생인(반구토신생인120례、조산인혹저체중인76례、족월인200례)수궤분위대조조화약욕조각198례,대조조채용상규목욕,약욕조재상규목욕적기출상증가약욕수료.비교신생인약욕전후혈당치、량조출생후경피담홍소치、신생인발생구토、습진적변화정황.결과 약욕후15 min38례조산인혹저체중인족근혈당제1,3천분별위(4.448±0.266),(4.457±0.314) mmol/L,여약욕전15 min[(4.509±0.274),(4.624±0.305) mmol/L]비교차이유통계학의의(t치분별위2.854,2.463；P ＜0.05)；출생후96,144h담홍소치약욕조38례조산인혹저체중인분별위(158.12±36.81),(166.05±20.18) μmol/L,여대조조[(199.08±35.68),(189.16 ±7.98) μmol/L]비교,차이유통계학의의(t치분별위4.925,6.565；P＜0.01).반구토신생인약욕조총유효솔91.7％,대조조위65.0％,차이유통계학의의(Z=3.619,P＜0.01).정상족월인약욕조발생습진2례,대조조16례,차이유통계학의의(x2 =11.966,P＜0.01).결론 약욕요법가감소조산인화저체중인병이성황달적발생,강저황달정도,대신생인구토화습진료효현저,불실위일충치득추엄적의료보건방법.
Objective To study the effect of various methods of medicated hydrotherapy that made according to TCM syndrome differentiation plus-minus method on blood glucose,skin bilirubin,newborn vomiting and eczema of neonates.Methods Totals of 396 neonates(120 neonates with vomiting; 76 preterm neonates or low weight infants;200 term neonates) were randomly divided into control group and medicated hydrotherapy group,each group had 198 cases,according to the birth time.Traditional bathe was applied in control groups,while medicated hydrotherapy was adopted on the basis of traditional bathe in the medicated hydrotherapy group.The changes of blood glucose,skin bilimbin,newborn vomiting and eczema were observed during four periods:15 min before and after medicated hydrotherapy,the 24th,48th,96th,144th after birth,and the incidence of vomiting and eczema.Results The blood glucose value of 38 preterm neonates or low weight infants before and after medicated hydrotherapy 15mins,and the difference in the 1 th and 3th day after birth was statistically significance [(4.509 ± 0.274) vs (4.448 ± 0.266),(4.624 ± 0.305) vs (4.457 ± 0.314) ; t =2.854,2.463,respectively; P ＜ 0.05)].In medicated hydrotherapy group,compared to control group,bilirubin values were significantly increased in the 96th and 144th hour after birth,respectively [(158.12 ±36.81) vs (199.08 ± 35.68),(166.05 ±20.18) vs (189.16 ±7.98) ;t =4.925,6.565,respectively;P ＜ 0.01)].The total effective rate of neonates with vomiting of eczema in medicated hydrotherapy group was 91.7％,and that of control group was 65.0％,and the difference was statistically significant (Z =3.619,P ＜ 0.01).And the incidence cases of medicated hydrotherapy group were 2 significantly lower than that of the control group 16 (x2 =11.966,P ＜0.01).Conclusions The neonatal medicated hydrotherapy prescription according to TCM syndrome differentiation method can reduce the occurrence of pathological jaundice in preterm neonates and low birth weight neonates and has little effect on blood glucose.It is an effective clinical treatment for neonatal vomiting and eczema,which is worth promoting in health care.