抚触配合蓝光照射对高胆红素血症新生儿血清总胆红素、生长发育的影响

Influence of touching combined with blue ray on serum total bilirubin and growing development in neonatal hyperbilirubinemia

目的探究抚触配合蓝光照射对高胆红素血症新生儿血清总胆红素水平、生长发育的影响。方法选择2016年3月~2017年3月我院新生儿科收治的70例高胆红素血症患儿作为研究对象,按照随机分配原则将其分为对照组和观察组,每组各35例。两组均给予蓝光照射和新生儿常规护理,观察组在蓝光照射和新生儿常规护理基础上联合抚触,比较两组新生儿治疗前和治疗后1、3 d的血清总胆红素水平,测定两组新生儿治疗前和治疗后体重增长量、奶摄入量、大便次数、睡眠时间来评价新生儿的生长发育情况。结果两组新生儿治疗前血清总胆红素水平比较差异无统计学意义(P>0.05),治疗后均降低,且观察组新生儿治疗后1、3 d的血清总胆红素水平显著低于对照组,差异有统计学意义(P<0.05);两组新生儿治疗前体重增长量、奶摄入量、大便次数和睡眠时间比较差异无统计学意义(P>0.05),观察组新生儿治疗后体重增长量、奶摄入量、大便次数和睡眠时间显著优于对照组,差异有统计学意义(P<0.05)。结论抚触配合蓝光照射有助于降低高胆红素血症新生儿血清总胆红素水平,通过改善新生儿体重增长、吸奶、大便次数和睡眠时间,促进新生儿生长发育。

Objective To discuss the effect of touch and blue light irradiation on serum total bilirubin level and growth and development of hyperbilirubinemia neonates.Methods 70 cases of neonatal hyperbilirubinemia in our hospital from March 2016 to March 2017 were randomly divided into observation group and control group,35 cases in each group.All of them were given blue ray and routine care,while newborns in observation group were given touching care additionally.The total serum bilirubin was detected before and after treatment.Daily weight,daily intake of milk,daily stool frequency and daily sleep duration were used to evaluate the growing development.Results Total serum bilirubin between two groups had no difference before treatment（P〈0.05）,and total serum bilirubin in observation group were lower than that in control group after 1 and 3 days treatment（P〈0.05）.Daily weight,daily intake of milk,daily stool frequency and daily sleep duration had no difference before treatment（P〉0.05）,and all of them in observation were better than those in control group after treatment,the differences were statistically significant（P〈0.05）.Conclusion Touching combined with blue ray is be conducive to decreasing total serum bilirubin,and promoting the growing development via improving weight growth,milk intake,stool frequency and sleep time.