【医学ppt课件】新生儿游泳教学规范-下篇（意大利国际会议手动演示）

1 ResearchonTechnicalDevelopmentandClinicalApplicationofNeonatalSwimming WaterTherapy TodayIamveryprivilegedtohavetheopportunitytointroducetoyoutheleadingdevelopmentofNeonatalSwimming WaterTherapy appliedinclinicalobstetricsinChina SZhao XZhang LXie XSun GHuang YYao JNiu JWen AffiliatedMaternalandChildren sHospitalofGuangzhouMedicalCollege MaternalandChildHealthHospitalofGuangdongProvince IwishtothankthePresidentoftheCongressanditisbothagreatpleasureandgreathonortobehereinFlorence Italy 2 Results 3 1 Comparisonofnewbornweightchangesandfirstdefecationtimebetween2groups Therewere2529casesincontrolgroupand2865casesinstudygroup Therewasnosignificantdifferenceinbirthweightbetweentwogroupsbuttherewassignificantdifferenceintheweightbeforedischarge p 0 05 Thenewbornsinthestudygroupgottheadvancedtimeoffirstdefecation meconiumturningyellowandtherecoveryfromphysiologicalweightlossafterswimming withsignificantdifferencescomparedtothecontrolgroup p 0 01 4 2 Changesofnewborns jaundiceindex serumbilirubin Thestudygroup including502cases gotobviouslowerneonataljaundiceindexcomparetothecontrolgroupthroughanalyzingthechangeofneonatalserumbilirubinlevelin3rdday 4thdayand5thdaywithclinicalsignificance p 0 01 Hyperbilirubinemiawasfoundin15casesincontrolgroupcomparewith6casesinstudygroup 5 3 NeonatalNBNAscore ThestudygroupgothigherNBNAscorethanthecontrolgroup showingthatswimmingcouldimproveneonatalnervalbehaviordevelopment 6 Influenceofneonatalswimmingonneonatalweight Therewasnosignificantdifferenceinbirthweightbetweentwogroupsbutnewbornsinthestudygroupgottheadvancedtimeofrecoveryfromphysiologicalweightlossafterswimming withsignificantdifferencescomparedtothecontrolgroup p 0 01 1 Influenceofneonatalswimmingonneonatalweight Discussion 7 Neonatalswimmingpromotesgrowthofmusclesandskeleton Rezviakov sresearchshowedthatdailyswimmingfor40daysincreasedtheweightoffastandslowmusclesinwhiterats alteringthesizeofplanesectionandtherelativeamountofdifferentfibersinthemuscles 1 1Neonatalswimmingpromotesgrowthofmusclesandskeleton Neonatalswimming waterexercise promotesdevelopmentoftheexercisesystemandtheincreaseofstrengthofmusclecontraction pictureisthenewbornonly10daysold Theslowmuscledevelopedcharacteristicofanintakefastmuscle Muscleandskeletalgrowthdirectlypromotetheincreaseofweight thenewbornonly10daysold 8 1 2Neonatalswimmingpromotesgrowthanddevelopment increasingexcitationofpneumogastricnervewithincreasingtensity promotingthesecretionofgastrinandinsulin increasingappetiteandnutritionabsorptionandspeedingtheestablishmentofintestinalbacteriacolony increasingexcitationofpneumogastricnervewithincreasingtensity 9 1 3Neonatalswimmingdevelopsthefunctionofdigestivesystem Humanslosemoreenergyswimminginwaterthanmovingonlandbecausewaterhashigherheatconductivitythanair Intestinalperistalsiswasstrengthened withmoremeconiumdefecated whichisgoodforbetterabortionofnutrition 1 3Neonatalswimmingdevelopsthefunctionofdigestivesystem 10 Thenewbornsinthestudygroupgottheadvancedtimeoffirstdefecationandmeconiumturningyellow withsignificantdifferencescomparedtothecontrolgroup p 0 01 2Influenceofneonatalswimmingonneonataldefecation 11 Studiesshowedthattheseverityandpersistingtimeofneonataljaundicewereassociatedwiththetimeofdefecationandmeconiumturningyellow SunMeinongandotherresearchersprovedthatthedelayofdefecationandmeconiumturningyellowwasoneofthereasonscontributingtoserumbilirubinexceedingthenormalrangeinfull termnewbornsinthe3rdto4thdayafterborn 2 1Delayofdefecationisoneofthereasonsleadingtojaundiceabnormality 12 ResearchprovesthatScientificandgentlestimulationtotheskinpromotesneonatalgrowthanddevelopmentafterborn Humansburnoutmoreenergyinwaterthanonland andintestinalperistalsiswasstrengthened defecatingmoremeconium Sodothenewborns Theearlierthemeconiumwasdefecatedandturnedyellow thebetternutritionwasabsorbed 2 2Relationshipbetweenmeconiumdefecationandnutritionabsorption 13 Thestudygroup including502cases gotobviouslowerneonataljaundiceindexcomparetothecontrolgroupwithclinicalsignificance p 0 01 3Influenceofneonatalswimmingonbilirubinmetabolism 14 Therewerenobacteriaintheneonatalintestineleadingtonourobilinogenformed glucuronidaseintheneonatalintestineanalyzestheconjunctivebilirubintolipid solublenon conjunctionbilirubinafterglucuronicacidoff withpartlydefecatedinmecnium Themeconiumintheneonatalintestinecontainsabout80 100mgbilirubinequalto5 10timesthedailyproduction 3 1Causesofelevatedserumbilirubin Thereweremanyreasonsforelevatedserumbilirubin Newbornbilirubinmetabolismhaditsownspecificphysiologicalcharacteristics suchasincreasingproductionofserumbilirubin littleingestionoflivercellstobilirubinanddeficiencyofconjunctionoflivercells especiallythehepto intestinalcycleparticularlyinneonatalperiod 15 leadingtodelayandblockofmeconiumdefecationincreasetheburdenofhepto intestinalcycleandthere absorptionofbilirubin contributingtoneonataljaundiceoraggravatedwithelevatedbilirubinlevel Therefore promotingmeconiumdefecationinnewbornwashelpfulforreducinghepto intestinalcycleandthere absorptionofbilirubin decreasingtheseverityandpersistingtimeofjaundice 3 2Lessenedandweakerperistalsis 16 Relevantreportsindicatedthatswimmingpromotedthebeta endorphin 5 dydroxytryptamineandadrenalin decreasedstressresponseandenhancedimmuneresponse Animalresearchindicatedthatrats3monthsoldswimmingfor30minutesdailygotstrongerfunctionandactivityofmacrophage whichshowedthatswimmingcouldaccelerateimmunefunctiono