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1、护理干预防治早产儿高胆红素血症的效果分析?论着?一…一一一————一一——一2oo8年5月第46卷第14期护理干预防治早产儿高胆红素血症的效果分析卢丽纯李龙平唐翠英(中南大学湘雅医学院益阳临床学院,湖南益阳413000)【摘要】目的探讨综合护理干预对早产儿高胆红素血症的防治效果.方法将160例早产儿随机分为两组各80例.对照组接受常规治疗和护理,观察组在此基础上给予包括灌肠,抚触,腹部按摩和营养支持在内的综合护理干预.采用钒酸盐法监测两组患儿血清胆红素值,记录黄疸的出现时间,持续时问和消退时间.
2、结果观察组患儿出生后d4和d6的血胆红素值明显低于对照组,差异有统计学意义,均P<0.O1(t---16.142,20.329),而且黄疸出现时间,持续时间和消退时间明显短于对照组,差异有统计学意义,均P<0.Ol(t=10.550,17.151,12.981).观察组高胆红素血症发生率明显低于对照组,差异有统计学意义(x2=18.829,P<0.01o结论综合护理干预可减少早产儿高胆红素血症的发生,从而提高患儿的生存质量.【关键词】护理干预;早产儿;高胆红素血症;疗效;综合【
3、中图分类号】R473.72;R722.17[文献标识码】A[文章编号】1673—9701(2008)14—16—03EffectivenessofNursingInterventionforPreventingHyperbilirubinemiainPretermInfantLULichunLILongvingTANGCuiymgYiyangClinicalInstituteofXiangyaMedicalCollegeofSouthCentralUniversity,Hunan413000【A
4、bstract】ObjecfiveToinvestigatetheeffectinvessofcomprehensivenursinginterventionforthepreventionofhyperbilirubinemiainpretenninfant.MethodsAtotalof160preterminfantswererandomlyassignedtothecontrolandtheobservationgroup,eachgroupconsistingof80eases.The
5、controlgroupreceivedtheconventionaltherapyandnumingintervention,whiletheobservationgroupWaSgivencomprehensivenursinginterventionsincludingcoloclysis,touching,abdominalmassageandnutrienttherapyinaddition.Thevanadateoxidationmethodwa.qemployedtomeasure
6、theserumtotalbilirubinlevelsafterbirthbetweentwogroups,andthetimeofjaundieepresence,durationofjaundice,andregressiontimeofjaundicewerenotedbetweentwogroups,andthenacomparativeanalysiswasperformedbetweentwogroups.ResultsTheserumtotalbilirubinlevelsatd
7、ay4and6afterbirthweresignificantlylowerintheobservationgroupthaninthecontrolgroup,demonstratingmarkeddifferencesbetweentwogroups,bothP<0.01(1=-16.142,and20.329~spectively),whilethetimeofjaundicepresence,durationofjaundice,andregressiontimeofjaundi
8、cewereconsiderablyshorter,withstatisticallysignificantdifferencesbetweentwogroups,allP<0.01(t=lO.550,17.151and12.981,respectively).Theincidencerateforhyperbilirubinemiawassubstantiallylowerintheobservationthaninthecontrolgroup,showingaprofounddiff
