综合护理干预在180例早产儿黄疸患者中的应用效果分析与研究

Analysis and research on the application of the comprehensive nursing intervention in 180 cases of jaundice in premature children

目的：探讨综合护理干预方式应用于早产儿黄疸患者治疗的临床效果。方法选择2009年12月至2011年12月本院收治的180例早产儿并患有黄疸病的患者作为研究对象,并随机将其均分为对照组与观察组两组,对照组（ n=90）给予常规的治疗及护理方式,观察组（n=90）在常规护理的基础上给予患儿腹部按摩及灌肠等方式的综合护理干预。对比二组黄疸出现时间、持续时间以及消退时间,1 d、3 d、5 d的血清胆红素值以及两组排便时间与形状。结果对照组黄疸出现时间为（2.2±0.9）d,小于观察组黄疸出现时间（4.4±1.6）d,对照组黄疸持续时间与消退时间均明显地长于观察组,上述各值的差异均具有统计学意义（P〈0.01）；对照组1 d、3 d、5 d 血清胆红素值（单位：μmol/L）分别为（49.9±15.5）、（122.6±28.9）、（199.9±37.7）,观察组分别为（51.1±16.7）、（86.8±19.8）、（121.1±22.5）,1 d血清胆红素值两组差异有统计学意义（P〉0.05）,3 d与5 d两组差异具有统计学意义（P〈0.01）；两组患儿在首次胎便排除时间、首次排便转黄时间以及每日排便次数三方面差异具有统计学意义（P〈0.05,P〈0.01）。结论对早产儿提供综合护理干预具有良好的临床效果,应该加以推广并广泛应用。

Objective To explore the clinical effect of the comprehensive nursing intervention on premature children with jaundice. Methods 180 cases of premature children which were suffered from jaundice during 2009. 12-2011. 12 were selected as subjects and were randomly divided into control and observation groups. Children in the control group （ n=90 ） were given conventional treatment and care, and in the observation group （n=90） were given comprehensive nursing intervention with abdominal massage and enema on the basis of conventional treatment and care. Jaundice occurrence, duration and regression time, 1 d, 3 d, 5 d serum bilirubin values and bowel movement, defecation time and shape were compared between the two groups. Results The emergence time of jaundice was （2. 2±0. 9） d in control group, which was significantly less than that of observation group （4. 4±1. 6） d. The duration and regression of jaundice of control group were significantly longer than those of the observation group. The 1 d, 3 d, 5 d serum bilirubin values （ unit： μmol / L） of control group were respectively （49. 9±15. 5）, （122. 6±28. 9） and （199. 9±37. 7）, and 1 d, 3 d, 5 d serum bilirubin values （unit： μmol / L） of the observation group were respectively （51. 1±16. 7）, （86. 8±19. 8） and （121. 1±22. 5） . There were no significant difference between the two groups in 1 d serum bilirubin （P〉 0. 05）, there was significant difference in 3 d and 5 d serum bilirubin between two groups （P〈0. 01） . There were significant differences in the first meconium exclude, the first defecation turn yellow time and the daily number of bowel movements between two groups （P〈0. 05, P〈0. 01） . Conclusions The comprehensive nursing intervention in preterm children has good clinical effect, which should be promoted and widely used.