改良后眼罩在预防新生儿蓝光照射中脱落的应用效果  

Application effect of modified blindfold on the prevention of falling during blue light irradiation for newborns

作　　者：李婷[1] 严济春 李蓉[3] 欧阳燕[1] 王菲[4] LI Ting;YAN Ji-chun;LI Rong;OUYANG Yan;WANG Fei(Department of Neonatology,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou341000,China;Department of Geriatrics,Ganzhou People′s Hospital,Jiangxi Province,Ganzhou341000,China;Department of Emergency,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou341000,China;Intervention Room,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]赣南医学院第一附属医院新生儿科,江西赣州341000 [2]江西省赣州市人民医院老年科,江西赣州341000 [3]赣南医学院第一附属医院急诊科,江西赣州341000 [4]赣南医学院第一附属医院介入室,江西赣州341000

出　　处：《中国当代医药》2021年第8期92-95,共4页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2018ZSF081)。

摘　　要：目的分析改良后的眼罩对于新生儿蓝光照射治疗期间眼罩脱落的预防效果。方法选取2018年8月~2019年2月于赣南医学院第一附属医院就诊的78例新生儿黄疸患儿作为研究对象,均行蓝光照射治疗,依据抽签法将其分为两组。A组41例使用改良后眼罩,B组37例行常规眼罩。比较两组的眼罩脱落率、不良反应发生情况、舒适度评分和治疗前后总胆红素水平。结果A组的眼罩脱落率(12.20%)低于B组(32.43%),差异有统计学意义(P<0.05)。A组的不良反应总发生率(14.63%)低于B组(35.14%),差异有统计学意义(P<0.05)。A组的各项舒适度评分低于B组,差异有统计学意义(P<0.05)。治疗前,两组的总胆红素水平比较,差异无统计学意义(P>0.05);治疗后,A组的总胆红素水平低于B组,差异有统计学意义(P<0.05)。结论为蓝光照射新生儿使用改良后眼罩能够减少眼罩脱落情况,且不良反应少,并能提升患儿舒适度,进而促进黄疸消退。Objective To analyze the preventive effect of the modified blindfold on the falling during the blue light irradiation in the treatment of newborns.Methods A total of 78 children with neonatal jaundice who were treated in the First Affiliated Hospital of Gannan Medical University from August 2018 to February 2019 were selected as the research objects.They were all treated with blue light irradiation and divided into two groups according to the lottery method.The 41 cases in group A used modified blindfold,and 37 cases in group B used conventional blindfold.The fall-off rate of blindfold,the incidence of adverse reactions,the comfort score and the total bilirubin levels before and after treatment were compared.Results The fall-off rate of blindfold in group A(12.20%)was lower than that in group B(32.43%),and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in group A(14.63%)was lower than that in group B(35.14%),and the difference was statistically significant(P<0.05).The comfort scores of group A were lower than those of group B,and the differences were statistically significant(P<0.05).Before treatment,the total bilirubin levels of the two groups were not significantly different(P>0.05).After treatment,the total bilirubin level of group A was lower than that of group B,the difference was statistically significant(P<0.05).Conclusion The use of modified blindfold for blue light irradiation in neonates can reduce the fall of blindfold,has fewer adverse reactions,and can improve the comfort of children,thereby promoting the resolution of jaundice.

关 键 词：改良后眼罩 新生儿 蓝光照射 眼罩脱落 

分 类 号：R722[医药卫生—儿科]