穴位按压和喂养频率对早发型母乳性黄疸患儿干预治疗的临床研究

目的探讨穴位按压和喂养频率对早发型母乳性黄疸患儿实施干预治疗的效果。方法将142例早发型母乳性黄疸患儿随机分为2组,干预组72例,治疗组70例。2组均给予常规治疗和护理。干预组在按需喂养基础上适当增加喂养频率及泻黄汤穴位按压,对照组按需喂养。对2组的临床资料进行比较分析。结果干预组与对照组喂养次数分别为(9.0±1.7)次/d与(5.6±1.5)次/d;排便次数分别为(5.4±1.6)次/d与(3.0±1.4)次/d;黄疸消失所需光疗时间分别为(32±9)h与(41±8)h;胆红素每天下降值分别为(32.5±10.6)μmol/L与(24.1±8.6)μmol/L,以上结果比较2组差异均有统计学意义(P<0.01)。结论在按需喂养的基础上适当增加喂养频率及穴位按压,可促进早发型母乳性黄疸患儿胆红素的排泄,降低血清胆红素水平,可作为早发型母乳性黄疸患儿早期干预治疗的一种较好方法。

A clinical research about influence of acupressure and the frequence of breast feeding for children with praecox jaundice

Objective To discuss the psychological behavior intervention methods on reducing the violence behavior of schizophrenia patients. Methods 120 schizophrenia patients were admitted from January to December, 2007 and randomly assigned into the behavior intervention group (group A), the psy-chological support group (group B), the health education group (group C) and the control group (group D) with 30 cases in each group. Group A received routine nursing plus behavior intervention, group B was giv-en routine nursing plus psychological support, group C adopted routine nursing plus health education, group D only received routine nursing. The intervention effect was evaluated with MOAS and the relapse rate of violence behavior went through statistics. Results After intervention, the scores of MOAS decreased sig-nificantly in group A, B, C and D compared with those before intervention. The reduction of MOAS scores in group A, B and C was significantly higher than that of group D, with the highest reduction score in group A and group B and C followed subsequently. The relapse rates of the violence behavior in group A, B and C were significantly lower than those of group D. Conclusions Routine nursing, health education, psycho-logical support and behavior intervention can all reduce and decrease the violence behavior and the inci-dence of the violence behavior, among which behavior intervention proves to be the most effective, and psy-chological support and health education go subsequently.