早期抚触配合蓝光照射对新生儿黄疸患儿胆红素水平及免疫功能的影响

Effects of early touch combined with blue light irradiation on bilirubin levels and immune function in children with neonatal jaundice

目的分析早期抚触配合蓝光照射对新生儿黄疸患儿胆红素水平及免疫功能的影响。方法选取2019年1月至2020年8月我院接收的150例新生儿黄疸患儿为研究对象,根据随机数字表法将其分为对照组和观察组,各75例。对照组给予常规护理干预,观察组给予早期抚触配合蓝光照射干预。比较两组的护理干预效果。结果观察组的首次排便时间、黄疸消退时间、胎便转黄时间、住院时间、排便频次以及睡眠时间均优于对照组(P<0.05)。护理后,观察组的黄疸指数、TBIL、DBIL、IBIL水平低于对照组(P<0.05)。护理后,观察组的CD4^(+)、CD8^(+)、CD4^(+)/CD8^(+)优于对照组(P<0.05)。观察组的护理总有效率高于对照组(P<0.05)。结论早期抚触配合蓝光照射治疗黄疸患儿的效果显著,能有效改善相关临床指标,降低患儿黄疸指数及相关血清指标水平,提高患儿的免疫功能。

Objective To analyze the effects of early touch combined with blue light irradiation on bilirubin levels and immune function in children with neonatal jaundice. Methods A total of 150 children with neonatal jaundice received in our hospital from January 2019 to August 2020 were selected as the research objects. The children were divided into control group and observation group according to the random number table method, with 75 cases in each group. The control group was given routine nursing intervention, and the observation group was given early touch combined with blue light irradiation intervention. The nursing intervention effects of the two groups were compared. Results The first defecation time, jaundice regression time, fetal stool yellowing time, hospital stay, defecation frequency and sleep time in the observation group were better than those in the control group(P<0.05). After nursing, the jaundice index, levels of TBIL, DBIL and IBIL in the observation group were lower than those in the control group(P <0.05). After nursing, the CD4^(+), CD8^(+), CD4^(+)/CD8^(+)in the observation group were better than those in the control group(P<0.05). The total effective rate of nursing in the observation group was higher than that in the control group(P <0.05). Conclusion Early touch combined with blue light irradiation has a significant effect in the treatment of children with neonatal jaundice, which can effectively improve the relevant clinical indicators, reduce the jaundice index and level of relevant serum indicators, and improve the immune function of children.