The Application Of Point-kneading Long Strong Acupuncture Combined With Anal Stimulation On Fetal Output In Preterm Infants

Objective: To evaluate the application of point-kneading long strong points combined with stimulate anus in fetal discharge of premature infants,and evaluate the effect of point-kneading long strong points combined with stimulate anus in fetal output of premature infants,in order to explore an effective,safe method of care for Promote fetal discharge in premature infants.Methods: From January 1,2017 to December 31,2017,112 premature infants of the Neonatology Department of the First Hospital of Qinhuangdao were selected.Using a random number table method,they were randomly assigned to a control group and an intervention group according to the inclusion and exclusion criteria.The premature infants in the control group were given conventional treatment and nursing.In the premature infants of the intervention group,they were given point-kneading long strong points combined with stimulate anus on the basis of conventional treatment and nursing.The defecation status,transcutaneous bilirubin values of the premature infants,feeding and weight situation in the two groups were observed and recorded.Comparing the first fetal discharge time,fetal excretion time,daily defecation frequency,daily transcutaneous bilirubin value,incidence of pathological jaundice,milk volume increase,weight gain and incidence of feeding intolerance in the two groups of premature infants.and the effect of point-kneading long strong points combined with stimulate anus in fetal output of premature infants was evaluated.SPSS20.0 software package was used for data processing.P<0.05 was considered statistically significant.Results:1.Defecation status of the premature infantsThe first fetal discharge time and fetal excretion time of premature infants in the intervention group were earlier than those in the control group,and daily defecation frequency in the intervention group was greater than that in the control group,which was statistically significance(P<0.05).2.Jaundice status of the premature infantsThe daily transcutaneous bilirubin values of the 2nd and 7th day after birth of the two groups of premature infants were statistically different(P<0.05).Repeated-measures analysis of variance was used to compare the transcutaneous bilirubin values of the two groups of premature infants at different times,which was also statistically significance.The incidence of pathologic jaundice in the two groups of premature infants was statistically different(P<0.05).32 cases(61.5%)of pathological jaundice occurred in the premature infants of the intervention group,and 43 cases of pathological jaundice occurred in the premature infants of the control group(87.8%).The incidence of pathological jaundice in the premature infants of the intervention group was lower than that of the control group.3.Feeding status of the premature infants There was a statistically significant difference in the daily average milk volume increase between the two groups of premature infants(P<0.05).The daily average milk volume of premature infants in the intervention group was 10(9,12)ml,and that of the premature infants in the control group(9.09±1.52)ml.The daily average weight gain of the two groups of preture infants was statistically different(P<0.05),Daily average weight gain of premature infants in the intervention group(24.92±1.59)g,daily average weight gain of preterm infants in the control group(18.81±1.93)g.Six cases(11.5%)of feeding intolerance occurred in premature infants in the intervention group,and 16(32.7%)of the premature infants in the control group suffered from feeding intolerance.The incidence of feeding intolerance was lower in the intervention group than in the control group,which was statistically differences(P<0.05).Conclusions:1.point-kneading long strong points combined with stimulate anus can effectively promote the discharge of fetal stool in preterm infants and shorten the time for fetal stools.2.point-kneading long strong points combined with stimulate anus can reduce the value of transdermal bilirubin and reduce the incidence of pathological jaundice in preterm infants.3.point-kneading long strong points combined with stimulate anus can promote milk intake in premature infants,reduce the incidence of feeding intolerance,and promote weight gain in preterm infants.