外周动静脉同步换血治疗新生儿高胆红素血症的监测与护理  

Monitoring and Nursing of Newborns with Hyperbilirubinemia Using Peripheral Arteriovenous Synchronous Exchange Transfusion

作　　者：郑秋英 ZHENG Qiuying(Heyuan Women&Children’s Hospital and Health Institute,Heyuan 517000,China)

机构地区：[1]河源市妇幼保健院

出　　处：《中外医学研究》2020年第3期134-136,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨外周动静脉同步换血治疗新生儿高胆红素血症的监测与护理。方法:选择2017年2月-2019年4月笔者所在医院收治的70例新生儿高胆红素血症患儿,所有患儿家长均同意进行外周动静脉同步换血治疗,即同时、同步由外周静脉注血、桡动脉或肱动脉抽血,治疗前后监测患儿血生化、血培养与生命体征。采用计算机随机法分为观察组与常规组,各35例。观察组给予综合护理,常规组给予一般护理,对比两组治疗前后总胆红素、间接胆红素、直接胆红素水平、并发症发生率。结果:两组均成功完成换血治疗,黄疸明显消退。两组治疗后总胆红素、间接胆红素、直接胆红素水平均低于治疗前,观察组降低幅度较常规组更显著,差异均有统计学意义(P<0.05)。观察组并发症发生率为2.86%,低于常规组的17.14%,差异有统计学意义(P<0.05)。结论:新生儿高胆红素血症患儿采用外周动静脉同步换血治疗中加强监测与护理可保证治疗工作顺利进行,降低并发症风险。Objective:To study the monitoring and nursing of newborns with hyperbilirubinemia using peripheral arteriovenous synchronous exchange transfusion.Method:A total of 70 newborns with hyperbilirubinemia treated in our hospital from February 2017 to April 2019 were selected.All parents of the newborns agreed to receive peripheral arteriovenous synchronous exchange transfusion treatment,that was,simultaneously and synchronously injected blood from peripheral vein,drew blood from radial artery or brachial artery,and blood biochemistry,blood culture and vital signs were monitored before and after treatment.Newborns were randomly assigned to the observation group and the conventional group,35 cases in each group.The observation group was given comprehensive nursing,and the conventional group was given general nursing.The levels of total bilirubin,indirect bilirubin and direct bilirubin before and after treatment and the incidence of complications were compared between the two groups.Result:Both groups successfully completed the exchange transfusion treatment,jaundice significantly subsided.The levels of total bilirubin,indirect bilirubin and direct bilirubin in the two groups were lower than those before treatment,and the reduction in the observation group were more significant than those of the conventional group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 2.86%,which was lower than 17.14% of the conventional group,and the difference was statistically significant(P<0.05).Conclusion:In the newborns with hyperbilirubinemia with peripheral arteriovenous synchronous exchange transfusion therapy to strengthen the monitoring and nursing can ensure the smooth treatment.

关 键 词：外周动静脉同步换血 新生儿 高胆红素血症 护理 

分 类 号：R473.72[医药卫生—护理学]