新生儿高胆红素血症的相关因素分析及护理对策探讨

Related factors and nursing of nneonatal hyperbilirubinemia

目的:探讨新生儿高胆红素血症的相关因素及护理对策,提高临床护理及治疗水平。方法:选取我院自2008年3月～2011年3月收治的110例高胆红素血症新生儿作为研究对象,采用随机数字表法随机分为干预组和对照组各55例,干预组患儿针对相关因素采用干预性护理,对照组采用常规护理,比较两组患儿的临床治疗效果。结果:(1)干预组总有效率为96.4%,对照组总有效率为87.3%,两组患儿总有效率比较有显著差异(χ2=9.536,P<0.01),具有统计学意义。(2)两组患儿治疗前、治疗后24h总胆红素水平比较无明显差异(P>0.05),治疗72h、120h时干预组总胆红素水平较对照组明显降低(P<0.01),具有统计学意义。结论:针对心理因素、喂养因素、体温因素、治疗因素及病情因素给予针对性护理,可以提高新生儿高胆红素血症的疗效,对改善患儿预后具有重要意义。

Objective： To explore the related factors and nursing care of neonatal hyperbilirubi- nemia, and to improve clinical care and treatment. Methods： A total of 110 cases of neonatal hyperbilirubi- nemia admitted from 2008 March to 2011 March were selected, and were randomly divided into interven- tion group and control group with 55 cases in each group. Patients in the intervention group had nursing intervention, and patients in control group had conventional care. Clinical effect was observed and com- pared. Results： Total effective rate of intervention group was 96.4%, control group was 87.3%, with sig- nificant difference between two groups （X2 =9. 536, P〈0.01 ）. The difference was not significant in 24 h total bilirubin between it before treatment and after treatment （ P〉0.05 ） while the level was signifi-cantly lower in intervention group at 72 h, 120 h （ P〈O. 01 ）. Conclusions. Corresponding nursing care based on status of psychological factors, feeding, temperature, treatment, and illness condition can im- prove the curative effect of neonatal hyperbilirubinemia.