水疗加抚触对新生儿黄疸的影响

目的探讨早期新生儿水疗及抚触对新生儿黄疸的影响。方法将320例正常新生儿按分娩顺序分为观察组（水疗加抚触组）170例，对照组（单纯沐浴组）150例，测定2组新生儿摄奶量，胎便初排时间，胎便转黄时间，生后96h皮肤黄疸指数。结果两组新生儿摄奶量，胎便初排时间，转黄时间，皮肤黄疸指数差异均有统计学意义（P〈0．05）。观察组首次排黄便时间明显早于对照组，血液胆红素水平明显低于对照组，黄疸较对照组轻。结论水疗加抚触能减轻新生儿生理性黄疸程度，有效地预防高胆红素血症的发生。

Effect of Water Therapy and Touching on Neonatal Jaundice

Objective To investigate the effect of water therapy and touching on neonatal jaundice. Methods 320 normal neonates were randomly divided into two groups. Group Ⅰ （water therapy and touching group） 170 cases, Group Ⅱ （simply bathing group） 150 cases. Results There were significant differences between 2 groups in the feed in the 24 hours, the time of first meconium, the time of their meconium turning yellow, the dermal bilirubin values at 96 hours after delivery （P 〈 0.05 ）. Neonates in Group Ⅰ excreted first yellow feces significantly earlier than neonates in Group Ⅱ. Blood bilirubin level in Group Ⅰ was significantly lower than that of Group Ⅱ . Jaundice in Group Ⅰ was slighter than those in Group Ⅱ. Conclusion Water therapy and touching can alleviate physiologic jaundice and effectively prevent the occurrences of high-level bilirubinaemia.