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                      • 小兒推拿網(小兒按摩網)
                      • 育兒教育與服務,小兒推拿第一品牌
                      您的位置:首頁 >> 小兒推拿療效報告--新生兒推拿 >> 腹部按摩在新生兒黃疸護理中的體會

                      腹部按摩在新生兒黃疸護理中的體會


                       

                      小兒推拿網LOGO

                      育兒教育與服務   小兒推拿領導品牌

                      安徽省阜陽市阜南縣中醫院兒科 梁詠、徐剛鋒 

                      文章出處:《中華現代兒科學雜志》 2007年4月

                      【關鍵詞】腹部按摩、新生兒黃疸、護理

                      新生兒黃疸是指新生兒時期發生的血清膽紅素濃度增高而引起的皮膚、黏膜、鞏膜和組織被黃染癥狀,是新生兒的多發病、常見病之一,因其可以引起核黃疸而造成神經系統后遺癥而備受患兒家屬及醫護人員的重視。

                      中醫認為新生兒黃疸的病因是感受濕熱,寒濕阻滯,淤積發黃。病機為脾胃濕邪內蘊,肝失疏泄,膽汁外溢而致發黃。在常規應用西醫各項對癥治療護理后,對新生兒黃疸患兒應用腹部按摩,能起到消積導滯,健脾和胃,調理腸胃蠕動的作用。同時促進糞便排泄,防止便秘發生,減少肝腸循環造成的腸壁對膽紅素的吸收,間接起到把進入腸道的結合膽紅素還原成糞膽紅素原,從而減少腸壁對未結合膽紅素的重吸收,達到促進黃疸消退的目的。

                      我科自2004年7月開始對收治的76例新生兒黃疸患兒進行現代醫學的各項常規治療護理的同時,輔以傳統的中醫推拿手法進行腹部(神闕穴)按摩,取得滿意的療效,現總結如下。

                      1、臨床資料

                      本組76例,男42例,女34例,年齡18h~28天,平均5天,全部患兒均以“新生兒黃疸”收入院。患兒入院后按西醫診療常規輸液抗感染、退黃、藍光照射等治療護理外,均輔以中醫按摩,取得滿意療效。

                      2、具體操作

                      2.1 病房環境 

                      安靜,光線柔和,溫度適宜(26~28℃),濕度70%。患兒要求生命體征平穩,腹部皮膚無損傷,無吐瀉,哺乳后2小時,換尿布。

                      2.2 操作方法

                      患兒平臥,腹部覆蓋治療巾,操作人員坐于患兒右側位,腕部微懸屈,掌指關節微屈,以食中環三指面附著于腹部神闕穴,前臂發力,連同腕部作盤旋法運動,帶動掌指著力部做環形的撫摩動作而不帶動皮下組織。

                      操作時應先輕后重,用力平穩均勻,不可按壓,摩動要緩和協調,輕快柔和。操作中按順時針方向摩動3分鐘,再按逆時針方向3分鐘。一般摩動的頻率每分鐘50次,每次按摩以10~20分鐘為宜。每日1次,5~7天為1療程。

                      2.3 操作注意事項 

                      必須在保證患兒能耐受的情況下進行,最好在有經驗的醫師指導下施術。患兒可以在病床上,也可以在溫箱內進行,患兒可采用仰臥位,術者多采用坐位。

                      治療時必須用治療巾覆蓋治療部位,以免受涼。治療過程中,應隨時注意患兒對治療的反應,若有不適,及時調整,以防發生意外。

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