抚触护理在蓝光治疗新生儿高胆红素血症中的应用效果  

Application effect of fondle nursing in the treatment of neonatal hyperbilirubinemia with blue light

作　　者：杨丽 廖伟琼[1] YANG Li;LIAO Weiqiong(Department of Pediatrics,Guangdong Agricultural Reclamation Central Hospital,Guangdong Province,Zhanjiang 524002,China)

机构地区：[1]广东省农垦中心医院儿科,广东湛江524002

出　　处：《妇儿健康导刊》2022年第4期80-83,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的研究抚触护理在蓝光治疗新生儿高胆红素血症中的应用效果。方法选择广东省农垦中心医院儿科2018年2月至2020年12月收治的90例高胆红素血症新生儿作为研究对象,采用随机数字表法分为实验组(n=45)和对照组(n=45)。两组新生儿均予以蓝光治疗,对照组新生儿予以常规护理,实验组新生儿在对照组基础上增加抚触护理。比较两组新生儿在经过不同干预后的治疗效果,记录两组新生儿黄疸消退时间、血清总胆红素恢复正常时间、住院时间等指标,比较两组新生儿干预前后每日吃奶量、血清总红素水平以及睡眠时间。结果实验组新生儿的治疗总有效率(93.33%)高于对照组(75.56%),差异有统计学意义(P<0.05)。实验组新生儿的黄疸消退时间、血清总胆红素恢复正常时间、住院时间短于对照组,差异均有统计学意义(P<0.05)。干预前,两组新生儿每日吃奶量、血清总胆红素水平、睡眠时间比较,差异无统计学意义(P>0.05);干预后,实验组新生儿每日吃奶量高于对照组,血清总胆红素水平低于对照组,睡眠时间多于对照组,差异均有统计学意义(P<0.05)。结论抚触护理在蓝光治疗新生儿高胆红素血症中的应用效果比较理想,能促使患儿黄疸快速消退,增加患儿日常摄入奶量与每日睡眠时间,缩短患儿住院时间,有推广价值。Objective To study the application effect of fondle nursing in the treatment of neonatal hyperbilirubinemia with blue light.Methods A total of 90 neonates with hyperbilirubinemia admitted to the Department of Pediatrics of Guangdong Agricultural Reclamation Central Hospital from February 2018 to December 2020 were selected as the research subjects,and divided into the experimental group(n=45)and the control group(n=45)by random number table method.The neonates in the two groups were treated with blue light,the neonates in the control group were given routine care,and the neonates in the experimental group were given fondle nursing on the basis of the control group.The therapeutic effect of the two groups of neonates after different interventions was compared,the time for jaundice subsidence,the time for serum total bilirubin recovery,and the hospitalization time were recorded,and the daily milk intake,serum total bilirubin levels and sleep time were compared between the two groups before and after the intervention.Results The total effective rate of neonatal treatment in the experimental group(93.33%)was higher than that in the control group(75.56%),and the difference was statistically significant(P<0.05).The time of neonatal jaundice subsidence,serum total bilirubin recovery tim e and hospitalization time in the experim ental group were s horter than those in the control group,and the differences were statistically significant(P<0.05).Before the intervention,there were no significant differences in the daily milk intake,serum total bilirubin level,and sleep time between the two groups(P>0.05).After the intervention,the daily milk intake of the experimental group was higher than that of the control group,the serum total bilirubin level in the experimental group was lower than that in the control group,and the sleep time was more than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The application effect of fondle nursing in the treatment of neonatal hyperbilirubinem

关 键 词：蓝光治疗 抚触护理 新生儿 高胆红素血症 血清胆红素 

分 类 号：R473.72[医药卫生—护理学]