关键词: 新生儿黄疸, 抚触, 益生菌, 经皮胆红素

Abstract:

AIM: To investigate the effects of early intervention of massage combined with probiotics on neonatal jaundice of later period preterm infants. METHODS: A total of 242 later period preterm infants in neonatology department were included in this study.The infants were randomly allocated to massage group and control group. After excluding 182 cases, thirty cases in each group completed the research. Both the massage group and the control group were given bifid triple viable from first feeding time to the fourth day after birth. The massage group received massage therapy for four days from the first day postnatal while the control group received routine care. The first feeding time, the first defecation time,the daily stool frequency and the transcutaneous bilirubin level (for four days from the first day postnatal) were recorded, and the serum bilirubin level on the fourth day postnatal was also detected to investigate whether they have complications, such as ventosity, diarrhea, vomiting, infection and other complications. RESULTS: Compared with the control group, the number of defecation times of the infants in the massage group was more than that of the control group on day 2-4 after birth (P<0.05); the transcutaneous bilirubin level in the massage group was significantly lower than the control group on day 3-4 after birth (P<0.05); the serum bilirubin level of the infants in the massage group was significantly lower than that of the control group on the fourth day after birth (P<0.05). There were no complications such as ventosity, diarrhea, vomiting and infection in the two groups. CONCLUSION: Early intervention of massage combined with probiotics can significantly reduce the level of bilirubin on day 4 after birth in later period preterm infants.

Key words: neonatal jaundice, massage, probiotics, transcutaneous bilirubin