婴儿家庭病房对新生儿高胆红素血症结局影响的分析

Analysis of the Effect of Infant Family Ward on Neonatal Hyperbilirubinaemia Outcomes

目的分析新生儿高胆红素血症患儿在婴儿家庭病房和普通病房中治疗效果的异同,为推广婴儿家庭病房提供依据。方法选取2022年1—12月佛山市妇幼保健院婴儿家庭病房收治的183例新生儿高胆红素血症患儿为研究对象,随机抽取同期普通病房183例新生儿高胆红素血症患儿做对比,回顾性分析2种类型病房新生儿高胆红素血症的治疗效果。结果婴儿家庭病房收治患儿平均胎龄(38.22±1.21)周,出生体质量(3181±395)g,入院时的日龄(4.51±1.36)d,血清胆红素水平(266.87±35.16)μmol/L;普通病房患儿平均胎龄(38.17±1.39)周,出生体质量(3139±426)g,入院时的日龄(4.26±1.37)d,血清胆红素水平(262.86±37.55)μmol/L,2组比较,差异均无统计学意义(P>0.05)。婴儿家庭病房15 d再入院5例,普通病房12例,2组比较差异无统计学意义(P>0.05)。婴儿家庭病房母乳喂养181例,普通病房13例,2组比较差异有统计学意义(P<0.05)。婴儿家庭病房并发症(皮疹、腹泻)6例,普通病房并发症(皮疹、腹泻)22例,差异有统计学意义(P<0.05)。婴儿家庭病房非常满意179例,普通病房非常满意160例,差异有统计学意义(P<0.05)。结论婴儿家庭病房减少母婴分离,更有利于母乳喂养及母婴康复,可以缩短新生儿高胆红素血症患儿住院时间,减少并发症的发生,对家属满意度产生正性影响。

Objective To analyze the differences and similarities in the treatment effects of neonatal hyperbilirubinemia(NH)in infant family ward and general ward,and provide reference for promoting the infant family ward.Methods A retrospective analysis was conducted on 183 neonates with NH admitted to Foshan Women and Children Hospital from January 2022 to December 2022.A comparison group of 183 neonates with NH admitted to the general ward was also selected at the same time.The differences in the treatment effects of the two types of wards were analyzed.Results The average gestational age of the babies admitted to the infant family ward was(38.22±1.21)weeks,birth weight(3181±395)g,age at admission(4.51±1.36)days,serum bilirubin level(266.87±35.16)μmol/L.The average gestational age of the babies in the general ward was(38.17±1.39)weeks,birth weight(3139±426)g,age at admission(4.26±1.37)days,serum bilirubin level(262.86±37.55)μmol/L,and there were no significant difference between the two groups(P>0.05).There were 5 cases of readmission in the family ward and 12 cases in the general ward at 15 days,and there were no significant difference between the two groups(P>0.05).There were 181 cases of breastfeeding in the family ward and 13 cases in the general ward,and there were significant difference between the two groups(P<0.05).There were 6 cases of complications(rash and diarrhea)in the family ward and 22 cases of complications(rash and diarrhea)in the general ward,and there were significant difference between the two groups(P<0.05).There were 179 cases of very satisfactory infant family ward and 160 cases of general ward,with significant difference(P<0.05).Conclusion The infant family ward is more conducive to breastfeeding and mother-baby recovery.The discharge of NH inpatients from the infant family ward is faster,with lower incidence of complications,and it has a positive impact on satisfaction.It is worth promoting.