抚触及穴位按摩对缺氧缺血性脑病患儿生长发育的影响.doc

抚触及穴位按摩对缺氧缺血性脑病患儿生长发育的影响 【摘要】目的探讨抚触及穴位按摩对缺氧缺血性脑病患儿智能及生长发育的影响。方法将84例患儿随机分为抚触组（44例）和对照组（40例），对照组行常规护理，观察组在此基础上行全身抚触及穴位按摩,2次/d，每次15 min，连续6个月。比较两组抚触前后的生长指标、神经行为（NBNA）、智能及运动评分。结果上述4项抚触组均显著优于对照组（P0.05，P0.01）。结论抚触及穴位按摩对缺氧缺血性脑病患儿智能、神经行为及生长发育有明显的促进作用。 【关键词】 婴儿；缺氧缺血性脑病；抚触；穴位按压；智力；儿童发育 Effect of Touching and Acupoint Massage on Growth and Development of Children with HypoxicIschemic Encephalopathy ∥LI Ying, WANG Xingang, LIU Yumei, et al∥ Department of Pediatrics, Dezhou Peoplersquo;s Hospital, Dezhou 253014，China Abstract Objective To investigate the effect of touching and acupoint massage on growth and development of children with hypoxicischemic encephalopathy. Methods Eightyfour children with hypoxicischemic encephalopathy were randomly divided into touching group (n=44) and control group (n=40). The children in the control group received routine nursing care, while those in the touching group subjected to touching and acupoint massage (twice every day, 15 min each time, lasting 6 months) in addition to routine nursing care. The growing index, neuronal behaviors, intelligence and motion score were compared in the two groups before and after treatment. Results In the touching group, the above indices were superior to those in the control group (P0.05, P0.01). Conclusion Touching and acupoint massage have obviously promoting effects on intelligence, neuronal behavior and development of the children with hypoxicischemic encephalopathy. Key words: infant;hypoxicischemic encephalopathy;touching;acupoint massage;intelligence;growth and development 抚触是通过对婴儿全身各部位肌肤进行科学、有规则、有次序、有手法技巧的轻柔爱抚与温和的按摩[1]，配合头部及躯干、四肢的常用穴位进行按摩，两者相辅相成，相得益彰，对缺氧缺血性脑病患儿的智能、神经行为（NBNA）及生长发育起到促进作用。笔者自2000年12月至2002年4月对44例缺氧缺血性脑病患儿进行抚触及穴位按摩，取得满意效果，现报告如下。 1资料与方法 1.1一般资料 84例住院缺氧缺血性脑病患儿，男56例、女28例，日龄0.5 h至3 d。胎龄37~41周；出生体重2 700~4 100 g，身长46.2~52.1 cm，头围32.5~34.8 cm，Apgar评分4~9分。每日摄入量150 ml/（kg.d），摄入蛋白质（3.5±1.0）g/（kg.d）。轻度脑病54例，中度脑病30例。父母健康状况：良好138人，一般30人；文化程度：中学96人，大学72人。根据入院时间顺序奇数为抚触组（44例），偶数为对照组（40例）。两组上述各项指标比较