护理干预在早发型母乳性黄疸患儿中的应用效果  

Effect of nursing intervention for children with early-onset breast milk jaundice

作　　者：杨庆玲[1] 黄孝梅[1] 张教国[1] 孙莹莹[1] 

机构地区：[1]山东省滕州市中心人民医院儿科,277500

出　　处：《中华现代护理杂志》2012年第7期778-780,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨护理干预在早发型母乳性黄疸患儿中的应用效果。方法将158例早发型母乳性黄疸患儿按随机数字表法分为干预组80例和对照组78例。两组均给予常规治疗和护理，干预组在此基础上采取日光灯照射、适当增加喂养频率和抚触等护理干预措施。比较两组患儿每日的治疗效果。结果干预组患儿每天哺乳次数（9．1±1．9）次高于对照组（5．7±1．6）次，排便次数（5．6±1．7）次高于对照组（3．1±1．3）次，两组比较差异有统计学意义（t分别为12．15、10．36；P〈0．01）；干预组患儿胆红素每天下降值（33．4±9．7）μmol／L高于对照组患儿（23．9±8．5）μmol／L，两组比较差异有统计学意义（t=6．54，P〈0．05）。干预组黄疸消退所需蓝光照射时间为（30±5）h，对照组为（42±7）h，两组比较差异有统计学意义（t=12．42，P〈0．01）。结论对早发型母乳性黄疸患儿采取护理干预措施，可促进胆红素的排泄，降低血清胆红素水平，减少蓝光照射时间，提高治疗效果。Objective To investigate the effect of early intervention for children with early-onset breast milk jaundice. Methods 158 children with early-onset breast milk jaundice were divided into two groups by table of random number, 80 cases in intervention group and the 78 cases in control group. The routine therapy and nursing cares were both used in the two groups, while the high frequency breast feeding, fluorescent light exposure and touch were used in the intervention group. To compare the therapy effect in two groups. Results The frequency of lactation （9.1 ± 1.9） and defecation （ 5.6 ± 1.7） in intervention group were higher than that in control group（5.7 ± 1.6,3.1 ± 1.3）, the differences were statistically significant（t = 12. 15, 10. 36 ,P 〈 0. 01 ）. Decrease in bilirubin per day in intervention group （33.4 ± 9.7 ）μmol/L was higher than that in the control group （23.9 ± 8.5 ）μmol/L, the difference was significant （ t = 6. 54, P 〈 0. 05 ）. fluorescent light exposure time needed for jaundice degrade in intervention group （30 ± 5） h was lower than that in control group （42 ± 7）h, the difference was significant （t = 12. 42, P 〈 0. 01 ）. Conclusions The nursing intervention for children with praecox jaundice can promote the excretion of bilirubin, reduce serum bilirubin level, shorten the fluorescent light exposure time, raise treatment effect.

关 键 词：婴儿 新生 黄疸 母乳喂养 光疗法 胆红素 护理干预 

分 类 号：R473.72[医药卫生—护理学]