循证护理在新生儿高胆红素血症中的应用

The Application of Evidence-based Nursing for Neonates with Hyperbilirubinemia

目的:探讨循证护理在蓝光照射配伍茵栀黄口服液治疗新生儿高胆红素血症中的应用效果。方法:将50例高胆红素血症新生儿随机分为观察组和对照组各25例。对照组给予新生儿常规护理,观察组实施循证护理,观察2组护理前后血清总胆红素和结合胆红素浓度变化,记录2组黄疸出现时间和消退时间。结果:血清总胆红素和结合胆红素浓度护理前2组比较差异无统计学意义(P>0.05),护理后2组均明显下降(P<0.05),观察组明显低于对照组(P<0.05)。观察组黄疸出现时间明显晚于对照组(P<0.05),而黄疸消退时间显著早于对照组(P<0.05)。结论:循证护理可明显降低高胆红素血症新生儿的胆红素浓度,缩短黄疸时间。

Objective：To investigate the application of evidence-based nursing for neonate with hyperbiliru-binemia treated by combining the blue light irradiation with YinChenHuang oral liquid. Methods： The 50 hyper-bilirubinemia cases were randomized into 25 cases of observation and control groups. The conventional nursing were given to the control group while the evidence-based nursing to the observation group;the concentrations of to-tal bilirubin （TBil） and conjugated bilirubin （CB） in serum were observed and the appearing and disappearing time of jaundice was recorded in both groups before and after nursing. Results：The comparison of TBil and CB concen-trations before nursing in both groups had no statistical meaning （P〉0.05）, while after nursing those in both groups decreased significantly （P〈0.05） and those in the observation group were notably lower than those in the control group （P〈0.05）. The appearing time of jaundice in the observation group was obviously later than that in the control group （P〈0.05） while the disappearing time of jaundice in the observation group was markedly earlier than that in the control group （P〈0.05）. Conclusion： The evidence-based nursing can significantly decrease the bilirubin of neonates with hyperbilirubinemia and shorten the jaundice duration.