抚触护理联合早期游泳对新生儿黄疸的影响

Influence of touch nursing combind with early swimming on neonatal jaundice

目的探讨抚触护理联合早期游泳对新生儿黄疸的影响情况。方法分析咸阳市第一人民医院2013年2月-2015年2月收治的200例新生儿黄疸病例的临床资料,依据治疗护理措施进行分组,常规护理组（100例）和联合护理组（100例）。观察两组新生儿护理前后体重变化、黄疸指数变化、血清间接胆红素变化情况,新生儿首次排便时间、胎便转黄时间、黄疸消退时间情况。结果护理前两组新生儿体重、黄疸指数、血清间接胆红素比较,差异无统计学意义（P〉0.05）。护理前后常规护理组体重无明显变化（P〉0.05）。护理后联合护理组体重[（4.50±0.58）kg]高于护理前[（3.33±0.52）kg],且高于护理后常规护理组[（3.39±0.53）kg];护理后常规护理组和联合护理组新生儿黄疸指数[（89.59±22.46）、（54.66±15.37）pmol/L]、血清间接胆红素[（156.79±30.18）、（130.69±24.45）μmol/L]均低于护理前[（172.35±40.65）、（169.89±38.78）pmol/L,（306.58±32.45）、（305.46±33.09）μmol/L],护理后联合护理组新生儿黄疸指数、血清间接胆红素低于常规护理组,且新生儿首次排便时间[（7.12±1.81）h]、胎便转黄时间[（37.52±5.21）h]、黄疸消退时间[（6.82±1.05）h]均短于常规护理组[（9.91±2.10）、（56.83±5.42）、（8.93±1.24）h],差异均有统计学意义（P〈0.05）。结论抚触护理联合早期游泳可以改善新生儿黄疸临床症状,降低血清间接胆红素,利于新生儿生长和发育。

Objective To dicuss influence of touch nursing combind with early swimming on neonatal jaundice. Methods The clinical data of 200 neonates with neonatal jaundice in Xianyang First People＇s Hospital from February 2013 to February 2015 were analyzed, they were divided into two groups by different nursing, routine nursing group（100 cases）and joint care group（100 cases）. The neonatal weight change, jaundice index change, serum indirect bilirubin change of two groups before and after nursing were detected, the first defecation time, meconium change yellow time, jaundice subsided time of two groups were detected. Results The neonatal weight, jaundice index, serum indirect bilirubin of two groups before nursing were compared, the differences were not statistically significant（P〉0.05）. The neonatal weight of routine nursing group before and after nursing were compared, the differences were not statistically significant（P〈0.05）. The neonatal weight of joint care group after nursing [（4.50±0.58） kg] was higher than before nursing [（3.33±0.52） kg],and this was higher than that of routine nursing group after nursing [（3.39±0.53） kg]; after nursing, the jaundice index[（89.59±22.46）,（54.66±15.37） pmol/L], serum indirect bilirubin [（156.79±30.18）,（130.69±24.45） μmol/L] of routing nursing group and joint care group were lower than before nursing [（172.35 ±40.65）,（169.89 ±38.78） pmol/L;（306.58 ±32.45）,（305.46±33.09） μmol/L], and jaundice index, serum indirect bilirubin of joint care group were lower than those of routine nursing group, and the first defecation time [（7.12 ±1.81） h], meconium change yellow time [（37.52 ±5.21） h],jaundice subsided time [（6.82 ±1.05） h] were lower than thoes of routine nursing group [（9.91 ±2.10）,（56.83 ±5.42）,（8.93 ±1.24） h], the differences were statistically significant（P〈0.05）. Conclusion The touch nursing compare with early swimming can improve neonatal jaundice clinical symptoms, and decrease serum indirect bilirubin, it is beneficial to newborn growth and development.