新生儿黄疸治疗中应用蓝光照射联合早期抚触的临床效果

Clinical effect of blue light exposure combined with early touching on neonatal jaundice

目的:探讨新生儿黄疸治疗中应用蓝光照射联合早期抚触的临床效果。方法:对某院收治的162例患儿随机分为观察组和对照组,每组各81例。对照组患儿实施常规治疗和单纯蓝光照射治疗,观察组患儿实施常规治疗和单纯蓝光照射治疗,同时联合早期抚触干预治疗。比对新生儿初次排便时间、消退黄疸时间、胎便转黄时间、排便次数情况;比对新生儿血清间接胆红素指标、体重指标、经皮胆红素指标变化情况。结果:观察组新生儿的初次排便时间、消退黄疸时间、胎便转黄时间,与对照组比较明显缩短(P<0.05);观察组新生儿的排便次数明显多于对照组(P<0.05。)治疗后,2组新生儿血清间接胆红素指标、经皮胆红素指标均较治疗前明显降低(P<0.05),观察组新生儿体重指标较治疗前明显升高(P<0.05),对照组新生儿体重指标较治疗前降低(P>0.05),2组比较,差异有统计学意义(P<0.05)。结论:新生儿黄疸治疗中应用蓝光照射联合早期抚触能够改善新生儿黄疸患儿的临床症状,疗效确切显著,对于新生儿的生长发育有积极意义。

Objective： To explore and study the clinical effect of blue light exposure combined with early touching on neonatal jaundice. Methods： 162 cases with neonatal jaundice in a hospital were enrolled and divided into an observation group and a control group,81 in each. The control group was given conventional therapy with blue light exposure,and the observation group was added with early touching intervention. The two groups were compared in terms of time of first defecation,time of jaundice clearance,time of meconium turning to yellow,defecation frequency as well as the index changes of serum indirect bilirubin,neonatal weight,and transcutaneous bilirubin. Results： Time of first defecation,jaundice clearance and meconium turning to yellow of the observation group was significantly shorter than that of the control group（ P〈 0. 05）. Defecation frequency of the observation group was significantly higher than that of the control group（ P〈 0. 05）. Indexes of serum indirect bilirubin and transcutaneous bilirubin in both groups were significantly lower than before the treatment（ P〈 0. 05）,and index of neonatal weight turned higher than before the treatment in the observation group（ P〈 0. 05） but lower in the control group（ P〉 0. 05）. The difference between the two groups was statistically significant（ P〈 0. 05）. Conclusion： Application of blue light exposure combined with early touching in neonatal jaundice can improve neonatal jaundice clinical symptoms,which is beneficial to growth and development of newborns.