母亲声音刺激在新生儿高胆红素血症中的应用效果分析  

Effect analysis of maternal voice stimulation in neonatal hyperbilirubinemia

作　　者：郭春玲 林春燕 吴煌艺 李彩玲 李丽端[1] Guo Chunling;Lin Chunyan;Wu Huangyi;Li Cailing;Li Liduan(Second Affiliated Hospital of Fujian Medical University,Quanzhou,Fujian 362000,China)

机构地区：[1]福建医科大学附属第二医院,福建泉州362000

出　　处：《首都食品与医药》2024年第15期138-140,共3页Capital Food Medicine

基　　金：福建医科大学附属第二医院院内苗圃基金(课题编号:2021MP17)。

摘　　要：目的探讨母亲声音刺激在新生儿高胆红素血症蓝光治疗中的应用效果.方法采用便利抽样法,选取2022年6月-2023年8月入住福建省泉州市某三级甲等医院新生儿科治疗的120例高胆红素血症患儿作为研究对象,按照随机数字表法分成对照组和观察组,每组各60例.对照组给予新生儿蓝光照射治疗常规护理,观察组在对照组的基础上给予母亲声音刺激,评估母亲声音刺激对高胆红素血症患儿的治疗效果、舒适度、光疗不良事件发生率等方面的影响.结果两组患儿入院时经皮胆红素值比较,差异无统计学意义(P>0.05);入院5天后经皮胆红素值均较前下降,且观察组经皮胆红素下降的效果优于对照组(P<0.001);观察组蓝光照射总时间和黄疸消退时间均少于对照组,差异有统计学意义(P<0.01);光疗前两组患儿EDIN评分相当,差异无统计学意义(P>0.05);开始光疗后15min、1h、4h,观察组EDIN评分明显低于对照组,差异有统计学意义(P<0.001);观察组光疗不良事件发生率低于对照组,差异有统计学意义(P<0.05).结论蓝光照射治疗辅以母亲声音刺激,可提高蓝光照射治疗效果,缩短光疗时间,提高患儿舒适度,降低光疗不良事件发生率.Objective To investigate the effect of maternal sound stimulation in blue light treatment of neonatal hyperbilirubinemia.Methods A total of 120 children with hyperbilirubinemia admitted to the neonatology department of a Grade-Ⅲhospital in Quanzhou,Fujian Province from June 2022 to August 2023 were selected as the study objects by convenient sampling method.They were divided into control group and observation group according to random number table method,with 60 cases in each group.The control group was given blue light treatment and nursing routine for neonates,and the observation group was given voice stimulation on the basis of the control group.The effects of mother voice stimulation on the treatment effect,comfort level and incidence of adverse events of phototherapy were evaluated.Results There was no significant difference in percutaneous bilirubin between the two groups at admission(P>0.05).Percutaneous bilirubin values were lower than before 5 days after admission,and the effect of percutaneous bilirubin reduction in observation group was better than control group(P<0.001).The total time of blue light exposure and jaundice resolution in the observation group were less than those in the control group(P<0.01).EDIN scores of the two groups were similar before phototherapy,and there was no significant difference(P>0.05).At 15 minutes,1 hour and 4 hours after phototherapy,EDIN score of observation group was significantly lower than control group(P<0.001).The incidence of adverse events in observation group was lower than that in control group(P<0.05).Conclusion Blue light irradiation therapy combined with mother’s voice stimulation can improve the effect of blue light irradiation therapy,shorten the time of light therapy,improve the comfort level of children,and reduce the incidence of adverse events.

关 键 词：母亲声音刺激 新生儿高胆红素血症 蓝光治疗 舒适度 

分 类 号：R722.1[医药卫生—儿科]