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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 >> 推拿治療新生兒腹脹8例

                      推拿治療新生兒腹脹8例


                      《中醫外治雜志》     1999年第5期

                       

                      小兒推拿網LOGO

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

                      湖南省瀏陽市婦幼保健院 唐亞蘇

                      【關鍵詞】腹脹 新生兒 新生兒推拿

                      新生兒腹脹在兒科護理工作中常見。由于新生兒腹脹會影響患兒進食,不便于用藥物治療,我們用小兒推拿療法治療新生兒腹脹,收到較好療效,現報道如下。

                      1臨床資料

                      本組患者8例,均系新生兒;男5例,女3例;年齡最大10天,最小2天。兒科和X線檢查排除腸道先天性畸形;各例患者均見便秘、腹脹膨隆、腸鳴音減弱或消失等癥狀體征。

                      2、治療方法

                      2.1 治療原則 

                      疏理氣機、調整胃腸功能。新生兒皮膚嬌嫩,推拿手法要輕柔,以滑石粉為遞質保護皮膚,冬季要注意保暖,以免受寒。

                      2.2 推拿方法 

                      揉肩井穴,揉內關、公孫、足三里穴;揉中脘、氣海、天樞穴;分推腹陰陽,順胃腸蠕動方向摩腹、振腹;揉龜尾、八髎(liáo),推下七節穴。每次推拿時間約20分鐘,每日2次。

                      3、治療結果

                      在推拿過程中出現肛門排氣者3例,推拿2次肛門排氣者4例,推拿3次后肛門排氣者1例,8例新生兒腹脹全部治愈。

                      4、典型病例

                      楊XX,男,孕36.5周產,產后3天,體重1850克。出生后無窒息,哭聲響亮。出生3天,肛門未排氣、排便,腹部膨隆,啼哭不安,無發熱嘔吐。曾喂中藥四磨湯,經肛門注入開塞露,未見肛門排氣、排便,X線檢查:心肺無異常,大小腸腔充氣明顯,未見液平面,膈下無游離氣體征象。

                      按照上述小兒推拿方法治療,在治療過程中,肛門排氣2次,腹脹減輕,推拿2次后排大便。

                      5、體會

                      祖國醫學認為,經絡是運行全身氣血,聯絡臟腑肢節,溝通上下內外,調節體內各部分的通路。新生兒脾胃功能發育不完善,運化功能低下,腸道通降機能易發生障礙,氣機痞塞不通,清氣不能上升,濁氣不能下降,氣體積聚腸內出現腹脹、腹痛,肛門不排氣、不排便。

                      小兒推拿手法作用于體表經絡穴位,達到通行氣血,并通過氣血、經絡影響腸胃,改善和調整胃腸功能。

                      本推拿部位及手法機理為:揉肩井穴宜通周身氣血;內關、公孫穴為八脈交會穴,足三里為足陽明胃經之合穴,諸穴合用理脾胃、調氣血,達到減輕腹脹及止痛作用;揉中脘、氣海、天樞穴,分推腹陰陽,順胃腸蠕動方向摩腹、振腹,是依據“經脈所過,主治所及”的經絡理論,局部推拿,直接加強胃腸蠕動,促進肛門排氣、排便;揉龜尾、揉八髎(liáo)、推下七節穴,直接作用脊髓骶段,通過反射抑制中樞,使這一節段副交感神經興奮,由于降結腸、直腸的交感相對抑制,副交感相對興奮,降結腸、直腸蠕動增加,肛門內括約肌松弛,促進肛門排氣、排便。

                      小兒推拿治療腹脹患兒后,不僅癥狀緩解,還能加強脾胃運化功能,減輕產婦精神負擔。由于神經調節,還能起到止痛、鎮靜作用,值得臨床進一步探討。

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