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目的探讨对新生儿黄疸应用腹部环形按摩与扩肛法促进排便的临床效果。方法选取我院2013年1月至2015年6月出生且诊断为高胆红素血症新生儿98例为研究对象,以随机数字表法分为对照组49例,观察组49例,对照组行常规治疗方案,观察组在常规治疗基础上加腹部环形按摩与扩肛法促进排便,对两组新生儿黄疸消退时间、黄疸指数变化、排便情况进行比较。结果观察组胎便转黄时间及黄疸消退时间明显较对照组短,每日排便次数明显较对照组多,两组差异有统计学意义(P<0.05);两组新生儿干预第1 d黄疸指数无明显差异,第3 d、5 d、7 d均有变化,观察组均低于对照组,差异有统计学意义(P<0.05);观察组新生儿家长满意率为91.84%,对照组为75.51%,差异显著(P<0.05)。结论扩肛法与腹部环形按摩促进排便干预利于新生儿黄疸消退,加快黄疸指数降低,也能提高家长满意度,利于护患和谐,值得推广。
Objective To investigate the clinical effect of abdominal ring massage and anal augmentation on defecation in neonatal jaundice. Methods A total of 98 newborns diagnosed with hyperbilirubinemia who were born from January 2013 to June 2015 in our hospital were selected and divided into control group (49 cases), observation group (49 cases), control group The patients in the observation group were given conventional abdominal ring massage and anal augmentation to promote defecation. The observation group was divided into two groups: jaundice extinction time, jaundice index change and defecation. Results The observation group was significantly shorter than the control group in defecation transit time and jaundice extinction time, the number of daily defecation was significantly more than the control group, the difference between the two groups was statistically significant (P <0.05); two groups of neonatal intervention on the 1st d jaundice index (P <0.05). The satisfaction rate of parents in observation group was 91.84%, while that in control group was (P <0.05). There was no significant difference between the observation group and the control group 75.51%, the difference was significant (P <0.05). Conclusions The anal augmentation method and abdominal ring massage can promote the defecation intervention, which can help the neonatal jaundice to fade away and accelerate the decrease of jaundice index. It can also improve parents’ satisfaction and benefit the harmony between nurses and patients and is worth promoting.