新生儿抑菌退黄中药生物凝胶的临床应用研究  

Study on the design and clinical application of Preventing Jaundice and Antibacterial Biological Medical Gel in newborn

作　　者：李霞[1] 谢佳佳 崔改英[2] 张泳[1] 祖利平[1] 李现英 陈华更 Li Xia;Xie Jiajia;Cui Gaiying;Zhang Yong;Zu Liping;Li Xianying;Chen Huageng(Delivery Room,the Fourth Hospital of Shijiazhuang,Shijiazhuang 050000,China;Nursing Department,the Fourth Hospital of Shijiazhuang,Shijiazhuang 050000,China)

机构地区：[1]石家庄市第四医院产房,050000 [2]石家庄市第四医院护理部,050000

出　　处：《中国实用护理杂志》2020年第28期2216-2219,共4页Chinese Journal of Practical Nursing

摘　　要：目的前瞻性观察新生儿抑菌退黄中药生物凝胶对新生儿的脐部抑菌和退黄作用。方法选取分娩的足月健康新生儿600例为研究对象,采用随机数字表法分为对照组和观察组各300例,对照组进行常规护理,观察组采用新生儿抑菌退黄中药生物凝胶全腹涂抹的干预方式,比较2组新生儿出生后3 d胎便排出次数、首次胎便排出时间、胎便转黄时间、高胆红素血症发生率、入住新生儿重症监护病房发生率、蓝光照射疗法发生率及脐部感染发生率的差异。结果观察组新生儿出生后3 d胎便排出次数、首次胎便排出时间、胎便转黄时间分别为(8.12±1.36)次、(7.39±3.71)h、(26.05±3.98)h,对照组分别为(5.31±1.02)次、(13.04±5.26)h、(28.65±3.54)h,2组比较差异有统计学意义(Z值为-6.133、-6.483,t值为-19.011,均P<0.05);观察组高胆红素血症发生率、入住新生儿重症监护病房发生率、蓝光照射疗法发生率及脐部感染发生率分别为0.67%(2/300)、0、1.00%(3/300)和0,对照组分别为3.33%(10/300)、2.00%(6/300)、5.00%(15/300)和3.33%(10/300),2组比较差异有统计学意义(χ2值为4.209~8.247,均P<0.05)。结论新生儿抑菌退黄中药生物凝胶对新生儿的脐部抑菌和退黄疗效显著,值得应用推广。Objective To evaluate the effects of Preventing Jaundice and Antibacterial Biological Medical Gel in prevention of hyperbilirubinemia and umbilical infection in newborn.Methods A total of 600 healthy neonates in a tertiary hospital were selected.Participants were randomly divided into the control group(n=300)and the observation group(n=300).The control group was given routine nursing guidance while the observation group was treated with Preventing Jaundice and Antibacterial Biological Medical Gel.The differences in the number of times of the fetus feces in 3 days after birth,the first fetal feces,yellow discharge time of the fetus feces,the incidence of hyperbilirubinemia,the incidence of neonatal phototherapy and the incidence of umbilical infection between the two groups were compared.Results The number of times of the fetus feces in 3 days after birth and the first fetal feces and yellow discharge time of the fetus feces of the observation group were(8.12±1.36)times,(7.39±3.71)hours,(26.05±3.98)hours,respectively.The control group were(5.31±1.02)times,(13.04±5.26)hours,(28.65±3.54)hours,respectively.The difference between the two groups was significant(Z value was-6.133,-6.483,t value was-19.011,P<0.05).The incidence of hyperbilirubinemia,being in neonatal intensive care unit,the incidence of blue light irradiation and the incidence of umbilical infection of the observation group was 0.67%(2/300),0,1.00%(3/300)and 0,respectively.The control group was 3.33%(10/300),2.00%(6/300),5.00%(15/300)and 3.33%(10/300),respectively.the difference between the two groups was significant(χ2 value was 4.209-8.247,P<0.01).Conclusions Preventing Jaundice and Antibacterial Biological Medical Gel could help control the incidence of hyperbilirubinemia and reduce the umbilical infection.It is worth clinical spreading.

关 键 词：黄疸 治疗 新生儿 中医药疗法 

分 类 号：R473.72[医药卫生—护理学]