保温箱内蓝光治疗早产儿黄疸时体温调节护理研究

Study on the temperature regulation nurse of premature infant with jaundice treated by blue light in incubator

目的探讨保温箱内蓝光治疗早产儿黄疸时体温调节护理。方法从该院2018年1月至2019年8月收治的早产儿中,选取80例确诊为黄疸且符合纳入标准的早产儿,随机划分为对照组与观察组各40例。对照组患儿直接进入保温箱内进行蓝光治疗,观察组则在接受蓝光治疗时进行体温调节护理。对比两组患儿蓝光照射体温上升趋势、不良反应发生率及治疗后恢复情况。结果经过常规蓝光治疗与体温调节3d后,观察组患儿血清总胆红素下降值、住院时间及每天安静睡眠时间明显更优于对照组,差异均有统计学意义(P<0.05);蓝光开始治疗时,两组患儿体温比较,差异无统计学意义(P>0.05);自蓝光照射2~12h时,观察组体温上升幅度不及对照组,各时间段体温水平均低于对照组,差异均有统计学意义(P<0.05);观察组光疗期间不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。结论在早产黄疸患儿接受蓝光治疗前进行体温测量,实施体温调节护理,可有效提高治疗效果,稳定体温水平,有效降低不良反应发生率,对促进早产儿病情康复、改善预后具有重要的临床意义,值得推广应用。

Objective To discuss the temperature regulation nurse of premature infants with jaundice treated by blue light in the incubator.Methods From the premature infants admitted to the hospital from January 2018 to August 2019,80 premature infants diagnosed with jaundice and meeting the inclusion criteria were randomly divided into the control group and the observation group,40 cases each.Children in the control group were directly treated with blue light in the incubator,while those in the observation group were treated with blue light and nursed with temperature regulation.The rising trends of body temperature,adverse event rate and treatment prognosis were compared.Results After routine blue light treatment and temperature regulation for 3 days,the serum total bilirubin decreased,length of stay and quiet sleep time in the observation group were significantly better than those in the control group,with statistically significant differences(P<0.05).At the beginning of blue light treatment,there was no difference in body temperature between the two groups.From 2 to 12 h after blue light irradiation,the body temperature of the observation group did not rise as much as that of the control group,and the average body temperature in each period was lower than that of the control group,with statistically significant differences(P<0.05).The incidence of adverse reactions during phototherapy in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Before the premature jaundice children receive blue light treatment to take temperature measurement,the implementation of temperature regulation nursing,can effectively improve the treatment effect,stabilize the temperature level,effectively reduce the incidence of adverse reactions,to promote the recovery of premature infants,improve the prognosis has important clinical significance,which is worth promoting.