关键词: 水疗, 抚触, 早产儿, 生长发育指标, 黄疸

Abstract: Objective To explore the effect of touch therapy combined with hydrotherapy on the developmental index and jaundice index of preterm infants. Methods Totally 168 premature infants were prospectively enrolled as subjects, and were divided into intervention group (n=84) and control group (n=84) according to the number table method. The intervention group was treated with touch therapy combined with hydrotherapy, while the control group received routine intervention. The growth and development index and icteric index of two groups on the day of birth,the 3rd, 7th, 30th, 60th and 90th day after birth were compared. Results The body weight, body length, head circumference and milk consumption of the intervention group increased significantly more than those of the control group on the 7th, 30th, 60th and 90th day after birth(P＜0.05). The neuropsychological development assessment score of premature infants in the intervention group was significantly higher than that in the control group on the 7th, 30th, 60th and 90th day after birth(P＜0.05). The ability of gross motor, fine motor, language and communication in the intervention group were significantly higher than those in control group in 3 months(P＜0.05). Both groups showed an upward trend in the transcutaneous bilirubin levels from the second to the fourth day of birth, and the increase in control group was significantly greater than that in the study group(P＜0.05). However, there was a downward trend in the two groups after the fourth day of birth, and the decrease in the intervention group was larger than that in control group(P＜0.05). The remission time for jaundice, time for the first meconium, meconium turning yellow and meconium excretion in the intervention group were significantly lower than those in the control group(P＜0.05). The rate of hyperbilirubinemia in the intervention group was lower than that in control group(P＜0.05). Conclusion Touching combined with hydrotherapy can help the growth and development of preterm infants, as well as accelerate the process of jaundice regression.

Key words: hydrotherapy, touch, premature infant, growth and development indicators, jaundice