新生儿高胆红素血症的护理干预及效果分析  

Analysis of Nursing Intervention and Its Effect on Hyperbilirubinemia of Newborn

作　　者：王培英[1] 刘亚飞[1] 王兰玲[1] 

机构地区：[1]山东省潍坊市妇幼保健院,山东潍坊261011

出　　处：《哈尔滨医药》2010年第6期95-96,共2页Harbin Medical Journal

摘　　要：目的探讨新生儿住院期间多种护理干预措施对新生儿高胆红素血症的影响。方法随即将符合条件的100例新生儿分成2组。实验组50例,采用母乳喂养加糖水,辅以新生儿抚触和游泳,必要时配合1%碳酸氢钠洗胃和温盐水灌肠。对照组50例,采用纯母乳喂养。对照观察两组新生儿住院期间黄疸程度的轻重。结果两组新生儿黄疸指数有明显的差异性。结论由于新生儿生后前几天受多种因素的影响,纯母乳喂养、乳汁量不足,摄入热卡不够,导致胎粪排泄延迟,黄疸指数偏高。建议采取多种护理干预措施,实施个体化喂养(避免乳头错觉的形成),促进新生儿体内胆红素及时排出体外,帮助新生儿顺利度过生理性黄疸阶段,避免高胆红素血症的发生。Objective To explore the affection of multiplicate nursing intervention measures to new-born hyperbilirubinemia.Methods The 100 cases of newborn be up to the standard were randomly divided into two groups.The 50 cases of experimental group were given breastmilk added sugar,assistant caress and swimming,using 1% NaHCO3 to clean the stomach and warm brine to enema in necessary.The 50 cases of control group were given breastmilk only.The jaundice degree of two groups of newborn in hospital were observed.Results There were obvious differences between the two groups of newborn jaundice indexes.Conclusion Because the newborn were affected by many factors in the first few days after birth,for example,breastmilk only,fall short of milk,the quantity of heat is lack,the excretion of fetal stool is lingering,and the jaundice index is on the high side.Advise to adopt multiplicate nursing intervention measures,actualize individual feeding（avoid the form of nipple illusion）,accelerate the excretion of jaundice in neborn in time.help the newborn live through the stage of circadian jaundice successfully,avoid the occurrence of hyperbilirubinemia.

关 键 词：新生儿 高胆红素血症 喂养 护理干预 

分 类 号：R473.72[医药卫生—护理学]