早期护理干预在胎膜早破新生儿黄疸治疗中的应用及疗效分析  

Analysis on application of early nursing intervention in treatment of neonatal jaundice combined with premature rupture of fetal membrane and curative effect

作　　者：贾承英[1] 崔彦敏[1] 张青[1] 李红梅[1] 

机构地区：[1]河北医科大学第三医院妇产科,河北石家庄050051

出　　处：《中国妇幼保健》2014年第17期2726-2728,共3页Maternal and Child Health Care of China

基　　金：河北省卫生厅医学科学研究重点课题计划项目〔20110399〕

摘　　要：目的:探讨早期护理干预对胎膜早破新生儿黄疸的影响。方法:将50例胎膜早破足月黄疸新生儿随机分为观察组和对照组。观察组患儿给予游泳、抚触、光疗等早期护理干预措施,对照组患儿给予基础常规护理措施。比较两组患儿体重、血清胆红素水平、胎便转黄时间及治疗总有效率等指标。结果:与对照组患儿比较,观察组患儿胎便转黄时间较早,血清胆红素水平较低,体重较重,差异均有统计学意义(P<0.05);观察组与对照组患儿治疗总有效率分别为92.0%和76.0%,差异有统计学意义(P<0.01)。结论:早期护理干预能有效增加胎膜早破伴黄疸患儿的体重,减轻患儿高胆红素血症,促进康复。Objective： To explore the effect of early nursing intervention on neonatal jaundice combined with premature rupture of fetal membrane. Methods ： Fifty full - term neonates with jaundice combined with premature rupture of fetal membrane were randomly divided into observation group and control group. The neonates in observation group were given early nursing intervention including swimming,touching and light therapy, while the neonates in control group were given basic and routine nursing. Body weights, serum bilirubin levels,the times of meconium turning yellow and total effective rates in the two groups were compared. Results： Compared with control group, the time of meconium turning yellow was earlier, the serum bilirubin level was lower, and body weight was weighter in observation group, there were statistically significant differences （ P 〈 0. 05 ） . The total effective rates in observation group and control group were 92. 0% and 76. 0% , respectively, there was statistically significant difference between the two groups （P 〈 0. 01 ） . Conclusion： Early nursing intervention can effectively increase body weight, relieve hyperbilirubinemia and promote recovery of neonates with jaundice combined with premature rupture of fetal membrane.

关 键 词：新生儿黄疸 早期护理干预 胎膜早破 血清胆红素 

分 类 号：R722.17[医药卫生—儿科]