新生儿重症监护环境对早产儿的不良影响及其干预对策  

Adverse effects of the neonatal intensive care environment on premature children and its measures of intervention

作　　者：冀敏[1] 

机构地区：[1]河南省安阳市妇幼保健院,455000

出　　处：《中国实用医刊》2015年第20期39-40,共2页Chinese Journal of Practical Medicine

摘　　要：目的：探讨新生儿重症监护环境对早产儿的不良影响及干预后效果。方法选取安阳市妇幼保健院新生儿重症监护中心（ NICU）收治的120例早产儿为研究对象,按随机数表法分为观察组与对照组,每组60例,对照组行基础护理,观察组行环境干预护理,观察两组患儿干预后体质量增长情况、首次排胎便时间、首次排便时间及血清总胆红素值。结果两组早产儿入院时体质量比较差异未见统计学意义（P〉0.05）,经1、2周治疗后,观察组新生儿平均体质量显著高于对照组,差异有统计学意义（P〈0.05）。治疗后,观察组新生儿的首次排胎便时间、首次排便时间、4～5 d血清总胆红素值分别为（7.9±1.6） h、（7.8±1.4）h、（12.1±2.3）mg/dl,显著低于对照组的（42.3±5.2）h、（52.2±6.7）h、（14.3±2.9）mg/dl,差异有统计学意义（P〈0.05）。结论新生儿对外界环境适应能力弱,对重症监控室的噪音、强光、外界刺激等因素适应力低。环境干预尽可能降低外界因素对患儿的干扰,利于患儿健康成长,有临床推广价值。Objective To investigate the adverse effects of the neonatal intensive care environment on premature children and its effect of intervention. Methods One hundred and twenty premature children were treated in neonatal in-tensive care unit （ NICU） of anyang maternal and child health care as the research objects, they were randomly divided into the observation group and the control group, with 60 cases in each group. Children in control group were given basic nurs-ing, and children in observation group were given the nursing of environmental interventions. After the intervention, the quality of growth in children, the time of first row meconium, the time of first defecation and pixel values of serum total bili-rubin of the two groups were observed. Results The weights of premature children of the two groups had no significant differences before treatment（P〉0. 05）. After the treatment of 1 week, 2 weeks, the weights of the newborn in observation group were significantly higher than those in control group, and the differences were significant （P〈0. 05）. After treatment, the time of first row meconium, the time of first defecation and pixel values of serum total bilirubin in 4-5 days of observa-tion group [（7. 9 ± 1. 6）h,（7. 8 ± 1. 4）h and （12. 1 ± 2. 3） mg/dl, respectively] were significantly lower those of the control group[（42. 3 ± 5. 2）h, （52. 2 ± 6. 7）h and （14. 3 ± 2. 9） mg/dl, respectively], the differences were significant （P〈0. 05）. Conclusions The newborns have weak ability to adapt to the external environment, they have low adaptability to the noise, light, external stimuli and other factors in NICU. Environmental intervention can reduce the interference of external factors on children as far as possible, it is conducive to the healthy growth of children, and it has clinical value of promotion.

关 键 词：新生儿 重症监护环境 早产儿 不良影响 干预对策 

分 类 号：R722.1[医药卫生—儿科]