维生素E按摩防治早产儿硬肿症临床观察.docVIP

维生素E按摩防治早产儿硬肿症临床观察[摘要] 目的:观察维生素E按摩防治早产儿硬肿症的临床效果。方法:选择孕期28周以上,体重1 000 g以上的早产儿78例,随机分为治疗组40例及对照组38例,除给予相同的全身治疗外,治疗组患儿入院时给予维生素E注射液全身按摩,对照组患儿给予润肤油全身按摩。结果:治疗组发生硬肿的患儿明显少于对照组,硬肿显效时间、硬肿消退时间明显短于对照组。结论:对早产儿给予维生素E全身按摩,可减少硬肿出现及促进硬肿尽快消散吸收,临床疗效显著。 [关键词] 维生素E;按摩;润肤油;硬肿症 [中图分类号] R722.1[文献标识码]A [文章编号]1673-7210(2009)07(a)-109-02 The clinical observation of Vitamin E massage prevents and controls the sclerema neonatorum MO Lan (Yunfu City Women’s and Children’s Dispensary, Yunfu 527300, China) [Abstract] Objective: To observe the clinical effect of vitamin E massage prevents and controls the sclerema neonatorum. Methods: The choice was pregnant above 28 weeks, the body weight 1 000 g above premature infant 78 examples, then randomly divided into the treatment group (40 examples) and the control group (38 examples), the two groups were given the same whole body treatment, and the treatment group in hospital were given the Vitamin E inoculation fluid whole body massage, the control group were given the soothing oil whole body massage. Results: The treatment group occurred in children with a hard swelling of the markedly less than the control group, markedly swollen hard time, hard swelling subsided significantly shorter than the control group. Conclusion: The Vitamin E whole body massage may reduce swells hardly appears and promotes to swell hardly dissipates as soon as possible the absorption, the clinical curative effect is remarkable. [Key words] Vitamin E;Massage;Soothing oil;Sclerema neonatorum 早产儿体温调节功能比足月儿差,棕色脂肪较少,基础代谢低,产能量少,而体表面积相对较大,皮下脂肪较少,易散热,同时汗腺发育不成熟和缺乏寒冷发抖反应。因此,早产儿的体温易随温度变化而变化,且常因寒冷而导致硬肿症的发生。现报道我院儿科在常规综合治疗基础上,采用维生素E 注射液进行全身按摩,在体温恢复、减少硬肿出现、硬肿消退时间、住院时间以及食乳量恢复上均取得了显著疗效。 1 资料与方法 1.1 一般资料 我院儿科2005年6月～2008年6月住院孕期28周以上、体重1 000～2 500 g的早产儿78例,其中,在我院妇产科出生即转科入院的早产儿50例,均未出现硬肿;院外收治早产儿28例,均出现轻至重度硬肿,并符合新生儿硬肿症诊断及分度评分标准。患儿日龄20 min～8 d。随机分为两组,治疗组40例中,男22例,女18例;对照组38例,男20例,女18例。两组的体重、体温、日龄、性别相似,具有可比性。 1.2 治疗方法 两组患儿均置暖箱保暖、复温、抗休克、补液、纠酸、补充热量、抗感染、改善微循环、对症治疗