声音干预护理对NICU早产儿的干预效果评价

Intervention Effect Evaluation of Sound Nursing in NICU Preterm Infants

目的 探讨声音干预护理对NICU早产儿的临床干预效果.方法 将2012年6月～2013年5月收入我院NICU的早产儿226例,按照随机数字法分为观察组和对照组,各113例.对照组给予常规护理方法.观察组在常规护理的基础上实施声音干预护理（设置声音干预的暖箱、调低仪器的报警声、病房内播放轻音乐等）.比较两组早产儿的肺动脉压力（PASP）、心脏指数（CI）、氧分压（PaO2）和二氧化碳分压（PaCO2）,体重的改变,首次排胎便时间、首次排黄便时间和出生1周后血清总胆红素含量变化的差异性.结果 两组早产儿干预后PASP和PaCO2均比干预前降低,有显著性差异（P＜0.05）,且观察组改善更显著,有显著性差异（P＜0.05）.两组早产儿干预后CI和PaO2均比干预前升高,有显著性差异（P＜0.05）,且观察组改善更显著,有显著性差异（P＜0.05）.出生1周和2周体重观察组逐渐增加,而对照组于1周时增加,2周时有所下降,两组比较有显著性差异（P＜0.05）.观察组首次排胎便时间、首次排黄便时间和出生1周后血清总胆红素含量比对照组低,有显著性差异（P＜0.05）.结论 对NICU早产儿实施声音干预护理具有十分重要的临床价值和意义,可应用于临床护理.

Objective A total of 226 NICU preterm infants from June 2012 to May 2013 were divided into common nursing group and sound nursing group by the random number method,the infants in sound nursing group received common nursing＋sound intervention（including setting sound intervention warm box,lowered instrument alarm sound and playing light music in wards）,then to compare the differences of pulmonary arterial pressure,cardiac index,oxygen and carbon dioxide partial pressure,weight changes,the first meconium time,the first defecation time and the total serum bilirubin changes 1week after the birth.Results the pulmonary arterial pressure and carbon dioxide partial pressure in the two groups were both lower than the pre-nursing（P〈0.05）,and the improvements in sound nursing group were significantly better than common nursing group[（4.03±0.64）VS.（5.26±0.41）mmHg,P〈0.05;（6.06±0.46）VS.（6.61±0.59）mmHg,P〈0.05].the cardiac index and oxygen partial pressure in the two groups were both higher than the pre-nursing（P〈0.05）,and the improvements in sound nursing group were significantly better than common nursing group[（3.99±1.63）比（3.57±1.41）ml/m^2＊min,P〈0.05;（9.88±1.86）比（8.41±1.25）mmHg,P〈0.05].the weight in sound nursing group was increasing gradually after one and two weeks after birth,however,the weight in common nursing group was increasing one week after birth,decreasing two weeks after birth（P〈0.05）.the first meconium time,the first defecation time and the total serum bilirubin changes 1week after the birth in sound nursing group were all less than common nursing group（P〈0.05）.Conclusion the sound nursing intervention may greatly improve the clinical effects for preterm infants in NICU.