综合护理对蓝光照射治疗新生儿高胆红素血症及神经心理发育的影响

The influence of comprehensive nursing on bilirubin levels and neuropsychological development of neonatal hyperbilirubinemia with blue light irradiation

目的：探讨综合护理在蓝光照射治疗新生儿高胆红素血症中的应用效果。方法将80例高胆红素血症的新生儿随机分为观察组和对照组各40例，两组均采用蓝光照射治疗，对照组采用常规护理，观察组在对照组的基础上采用综合护理，比较两组的治疗效果及神经心理发育情况。结果观察组的胎便初排时间、胎便转黄时间短于对照组，每日奶量、排便次数、睡眠时间多于对照组，护理后5d的胆红素、黄疸指数低于对照组，出生5d后的体重高于对照组，差异均有统计学意义（P＜0.05）；观察组出院后的躯体运动、行为能力、语言表达等神经心理发育评分高于对照组，护理满意度高于对照组，差异均有统计学意义（ P＜0.05）。结论综合护理能提高蓝光照射治疗新生儿高胆红素血症的效果，改善新生儿的预后。

Objective To explore the effect of comprehensive nursing on bilirubin levels and neuropsychological development of neonatal hyperbilirubinemia with blue light irradiation.Methods A total of 80 cases of newborns with hyperbilirubinemia were randomly di-vided into the observation group and the control group , the control group was received routine nursing care , two groups were both used the blue light treatment , the control group was received routine nursing care , the observation group was given comprehensive nursing.Two groups were compared with treatment effect and neuro psychological development.Results The first meconium time , meconium turning yellow in the observation group were less than those in the control group , the daily milk yield , defecation frequency , sleep time were more than those in the control group, bilirubin, jaundice index 5D after nursing were lower than those in the control group , weight 5d after born was higher than that in the control group , nursing satisfaction was higher than that in the control group , with statistically significant （ P 〈0.05 ）.Discharge body , behavior , language expression ability and mental development in the observation group after discharge were higher than those in the control group , with statistical significance （ P〈0.05 ） .Conclusions The comprehensive nursing intervention can improve the treatment effect and neonatal prognosis of phototherapy neonatal hyperbilirubinemia .