早期综合护理对新生儿黄疸的预防效果分析

The Observtion of the Efficacy of Early Nursing Intervention in Children with Neonatal Jaundice

目的探索新生儿黄疸的早期护理方法及效果。方法在医院随机选取了从2015年1月—2017年12月的150例正常足月的新生儿黄疸患儿作为研究对象,随机将150例新生儿患儿划分成早期干预组和对照组,每组样本均为75例。对两组新生儿都实施母乳喂养、按需哺乳、母婴同室以及早吸吮、早接触等常规护理手段,对早期干预组在常规护理的基础上进行早期综合护理,按需添加奶粉、综合抚触、游泳以及光照护理,观察记录两组样本新生儿每天的黄疸指数、第一次排便时间以及第一次排出黄色粪便的时间。结果早期干预组新生儿的首次排便时间(7.21±2.09)h,对照组新生儿的首次排便时间(13.72±3.24)h,早期干预组新生儿的首次排出黄色粪便的时间(31.02±4.34)h,对照组新生儿首次排出黄色粪便的时间(49.26±4.57)h,早期干预组新生儿的首次排便时间以及首次排出黄色粪便的时间显著短于对照组的新生儿,差异有统计学意义(t=32.724 1,P<0.05,t=60.700 1,P<0.05)。早期干预组新生儿黄疸症状的缓解状况显著好于对照组新生儿的状况,差异有统计学意义(P<0.05)。结论早期综合护理可以在很大程度上减少新生儿黄疸的患病率,有效预防新生儿胆红素血症,具备良好的应用前景和临床意义。

Objective To investigate the clinical effect of early nursing intervention in neonatal jaundice.Methods A total of 150 cases of neonatal jaundice in the hospital from January 2015 to December 2017 were chosen.They were randomly divided into the early intervention group and the control group,with 75 cases in each group.The clinical related indicators were taken for comparison and research.Results The first defecation time was(7.21±2.09)h in the early intervention group,which was shorter than that in the control group(13.72±3.24)h.The difference was statistically significant(t=32.724 1,P<0.05).The first defecation turn yellow time was(31.02±4.34)h in the early intervention group,which was shorter than that in the matched group was(49.26±4.57)h.And the difference was statistically significant(t=60.700 1,P<0.05).The remission of neonatal jaundice symptoms in the early intervention group was significantly better than that in the control group,with statistical significance(P<0.05).Conclusion Early comprehensive nursing can greatly reduce the prevalence of neonatal jaundice and effectively prevent neonatal bilirubinemia,which has good application prospects and clinical significance.