文章摘要
早期小儿推拿在高危儿管理中的应用研究
投稿时间:2026-06-11  修订日期:2026-08-03
DOI:
中文关键词: 高危儿  早期干预  小儿推拿  生长发育  睡眠  依从性
英文关键词: 
基金项目:江西省中医药管理局科技计划
作者单位邮编
叶琳琳* 江西省妇幼保健院 330006
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中文摘要:
      目的:系统探讨早期小儿推拿在高危儿健康管理中的实际应用价值,为其在儿童保健领域的推广提供理论依据与实践参考。方法:本研究共纳入2023年5月至2024年5月江西省妇幼保健院新生儿科高危儿保健门诊收治的100例高危儿,采用随机数字表法进行分组,治疗组与对照组各50例。对照组实施常规干预,治疗组在常规保健的基础上辅以补脾经、补肾经、摩腹、捏脊、揉足三里等小儿推拿干预。观察指标包括生长发育情况、睡眠情况、家属依从性及后遗症发生率。结果:干预实施后,治疗组患儿各阶段生长发育指标的增长幅度均高于对照组,且差异均达到统计学意义(P<0.05)。治疗组患儿平均睡眠时长和各项睡眠指标明显优于对照组(P<0.05)。治疗组家属总依从性(98%)高于对照组(88%)(P<0.05)。治疗组后遗症平均发生次数低于对照组(P<0.05)。结论:早期小儿推拿干预对高危儿的生长发育质量、睡眠质量具有积极的促进作用,能提高家属依从性并降低后遗症发生次数,具有重要的临床应用价值。
英文摘要:
      Objective: To systematically investigate the practical application value of early Pediatric Tuina in the health management of high-risk infants and provide theoretical basis and practical reference for its promotion in the field of pediatric rehabilitation11. Methods: This study enrolled 100 high-risk infants who were admitted to the High-risk Infant Health Clinic of the Neonatology Department, Jiangxi Maternal and Child Health Hospital, from May 2023 to May 2024. The infants were randomly allocated to a treatment group (n = 50) or a control group (n = 50) according to a random number table. The control group received routine intervention, and the treatment group received Pediatric Tuina (including tonifying Spleen Meridian, tonifying kidney Meridian,abdominal massage ,pinching the spine,kneading Zusanli ) in addition to routine intervention. Observation indices included growth and development, sleep status, family compliance, and incidence of sequelae. Results: After the intervention, the increases in growth and developmental indicators at each follow-up stage were significantly greater in the treatment group than in the control group, with statistically significant differences between the two groups (P<0.05). The average sleep duration and various sleep indicators in the treatment group were significantly better than those in the control group (P<0.05). Compared with the control group, the treatment group demonstrated a significantly higher level of family compliance, with rates of 98% and 88%, respectively(P<0.05). The mean frequency of sequelae was significantly lower in the treatment group than in the control group (P<0.05). Conclusion: Early Pediatric Tuina intervention has a positive effect on promoting the growth and development quality and sleep quality of high-risk infants19, can improve family compliance, and reduce the incidence of sequelae, possessing important clinical application value.
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