Garg Bhawan Deep, Kabra Nandkishor S, Balasubramanian Haribalakrishna
a Surya Children's Medicare Pvt. Ltd , Mumbai , India.
J Matern Fetal Neonatal Med. 2019 Jan;32(2):301-309. doi: 10.1080/14767058.2017.1376316. Epub 2017 Sep 13.
Neonatal hyperbilirubinemia (NNH) is one of the leading causes of admissions in nursery throughout the world. It affects approximately 2.4-15% of neonates during the first 2 weeks of life.
To evaluate the role of massage therapy for reduction of NNH in both term and preterm neonates.
The literature search was done for various randomized control trials (RCTs) by searching the Cochrane Library, PubMed, and EMBASE.
This review included total of 10 RCTs (two in preterm neonates and eight in term neonates) that fulfilled inclusion criteria. In most of the trials, Field massage was given. Six out of eight trials reported reduction in bilirubin levels in term neonates. However, only one trial (out of two) reported significant reduction in bilirubin levels in preterm neonates. Both trials in preterm neonates and most of the trials in term neonates (five trials) reported increased stool frequencies.
Role of massage therapy in the management of NNH is supported by the current evidence. However, due to limitations of the trials, current evidences are not sufficient to use massage therapy for the management of NNH in routine practice.
新生儿高胆红素血症（NNH）是全球新生儿重症监护病房收治患儿的主要原因之一。在出生后的前两周内，约2.4%-15%的新生儿会受到影响。
评估按摩疗法在足月和早产新生儿中降低NNH的作用。
通过检索Cochrane图书馆、PubMed和EMBASE等数据库，对各种随机对照试验（RCT）进行文献检索。
本综述共纳入10项符合纳入标准的RCT（2项针对早产儿，8项针对足月儿）。大多数试验采用了菲尔德按摩法。八项试验中有六项报告足月儿胆红素水平降低。然而，在两项针对早产儿的试验中，只有一项报告早产儿胆红素水平显著降低。两项针对早产儿的试验以及大多数针对足月儿的试验（五项试验）均报告大便次数增加。
目前的证据支持按摩疗法在NNH管理中的作用。然而，由于试验存在局限性，目前的证据不足以在常规实践中使用按摩疗法来管理NNH。
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