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1、早期綜合護(hù)理干預(yù)對(duì)新生兒黃疸的臨床影響研究【摘要】H的探討早期綜合護(hù)理干預(yù)對(duì)新生兒黃疸的臨床影響。方法78例新生兒黃疽患兒，采用隨機(jī)數(shù)字表法、平行法分為觀察組和對(duì)照組，每組39例。對(duì)照組患兒予以常規(guī)護(hù)理，觀察組在對(duì)照組的基礎(chǔ)上予以早期綜合護(hù)理。觀察兩組患兒第一次排胎便和胎便轉(zhuǎn)黃時(shí)間、經(jīng)皮黃疸指數(shù)。結(jié)果觀察組患兒第一次排胎便時(shí)間(2.15±0.23)h和胎便轉(zhuǎn)黃時(shí)間(33.43±0.66)h均明顯短于對(duì)照組(5.43±0.56)、(57.49±2.34)h，差異均具有統(tǒng)計(jì)學(xué)意義(P〈0.05)。兩組患兒經(jīng)皮黃疸指數(shù)在出生后第1天比較差異無統(tǒng)計(jì)學(xué)意義(P>0
2、.05)，觀察組出生后第2、3、4、5、6天經(jīng)皮黃疸指數(shù)均低于對(duì)照組，差異均具有統(tǒng)計(jì)學(xué)意義(P〈0.05)。結(jié)論早期綜合護(hù)理能有效的降低新生兒黃疸，有效的預(yù)防新生兒膽紅素血癥，臨床應(yīng)用前景廣闊。本文采集自網(wǎng)絡(luò)，本站發(fā)布的論文均是優(yōu)質(zhì)論文，供學(xué)習(xí)和研究使用，文中立場(chǎng)與本網(wǎng)站無關(guān)，版權(quán)和著作權(quán)歸原作者所有，如有不愿意被轉(zhuǎn)載的情況，請(qǐng)通知我們刪除已轉(zhuǎn)載的信息，如果需要分享，請(qǐng)保留本段說明?！娟P(guān)鍵詞】早期綜合護(hù)理；新生兒；黃疸D0I：10.14163/j.cnki.11-5547/r.2017.01.077Studyonclinicaleffectofearly
3、comprehensivenursinginterventionforneonataljaundiceGAOZi-ying.DepartmentofNeonatology,ZhuhaiCityMaternalandChildCareServiceCentre,Zhuhai519000,China[Abstract]ObjectiveToexploreclinicaleffectofearlycomprehensivenursinginterventionforneonataljaundice.MethodsAtotalof78neonataljaundi
4、cepatientsweredividedbyrandomnumbertabicandparallelmethodintoobservationgroupandcontrolgroup,with39casesineachgroup.Thecontrolgroupreceivedconventionalnursing,andtheobservationgroupalsoreceivedearlycomprehensivenursing.Observationweremadeonfirstrowofmeconiumandmeconiumtoyellowtim
5、e,percutaneousjaundiceindex.ResultsTheobservationgrouphadfirstrowofmeconiumtimeas(2.15+0.23)h,meconiumtoyellowtimeas(33.43±0.66)h，whichwereallshorterthan(5.43±0.56)and(57.49土2.34)hinthecontrolgroup,andtheirdifferenceshadstatisticalsignificance(P<0.05).Therewasnostatisticallysigni
6、ficantdifferenceinpercutaneousjaundiceindexonpostnatal1stdaybetweentwogroups(P>0.05).Theobservationgrouphadlowerpercutaneousjaundiceindexonpostnatal2ndday，3rdday，4thday,5thdayand6thdaythanthecontrolgroup,andtheirdifferenceshadstatisticalsignificance(P<0.05).ConclusionEarlycompreh
7、ensivenursingcaneffectivelyreduceoccurrenceofneonataljaundiceandpreventneonatalbilirubinconcentrationwithbroadapplicationprospectinclinic.【Keywords]Earlycomprehensivenursing；Neonatal；Jaundice新生?夯起閌侵賦鏨?28d內(nèi)的新生兒巾于膽紅素代謝出現(xiàn)異常[1-4],導(dǎo)致新生兒血中游離膽紅素?cái)?shù)值增高，進(jìn)而導(dǎo)致皮膚、黏膜及鞏膜出現(xiàn)黃染為主要臨床特征的病癥，好發(fā)于分娩后2?3d
8、的新生兒，由于新生兒毛細(xì)血管豐富，當(dāng)血清膽紅素值〉5mg時(shí)便可有肉眼可見的黃疸出
