新生儿高胆红素血症的观察及护理干预

Observation on hyperbilirubinemia of newborn and intervention of nursing care.

目的：探讨影响新生儿高胆红素血症的相关因素及护理干预方法。方法：观察36例纯母乳喂养血胆红素增高的正常足月新生儿（高胆组），并与同等条件的66例生理性黄疸组新生儿作对照，同时观察45例有高危征象新生儿（高危组）。结果：高胆组哺乳不足8次例数明显高于生理性黄疸组（P〈0．01），正常第一次排胎便时间延迟高于生理性黄疸组（P〈0．05），高危组新生儿高胆红素发生率高于高胆组（P〈0．01）。结论：正常足月新生儿生后应使其做到频繁有效地吸吮，可促进胎便排出，有效预防生后3～4d新生儿高胆红素血症的发生，故应尽早干预治疗。

Objective： To explore the related factors which causes hyperbilinlbinemia of newborn and intervention of nursing care as well. Methods ： The observation was made on the increase of blood bilirubin of 36 full - term newborn who had only breast feeding and comparison was made with 66 newborn of physiological jaundice on the basis of the observation, and the observation was also made on 45 newborn in high risk at the same time. Results： The newborn fed less than 8 times after delivery were more than those who had physiological jaundice （ P 〈 0. 01 ） and first defecation was much delayed in those who had high blood bilirnbin （ P 〈 0. 05 ）. The highest incidence of hyperbilirubinemia was found in the newborn who were in high risk （P 〈0. 01 ）. Conclusion： To have full - term newborn frequent sucking can effectively speed up their first defecation so as to prevent from the occurrence of hyperbilirubinemia in newborn after 3 -4 days of delivery.