探讨人工流产关爱在未婚人工流产围手术期的应用

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1、［关键词］新生儿黄疸；冷光源；蓝光照射;照射时间［中图分类号］R722.17［文献标识码］A［文章编号］2095-0616(2017)08-73-03［Abstract］ObjectiveToanalyzeandcomparetheefficacyofrepeatedintermittentandcontinuouscoldlightsourcebluelightirradiationinthetreatmentofneonataljaundice.Methods150casesoffull-termdelivery

2、ofnewbornswithdiseaseofjaundicewereselectedasresearchobjects.Theyweredividedintoobservationgroup(n-73)andcontrolgroup(n-77)accordingtothelightsource.Allthepatientsinthetwogroupsweretreatedwithconventionaldrugtherapyandsymptomatictreatment.Patientsincontrolgroup

3、weretreatedwithcontinuouscoldlightsourcebluelightirradiation,andpatientsinobservationgroupweretreatedwithmultipleintermittentcoldlightsource.Thelevelsofserumtotalbilirubin(TBIL)anddirectbilirubin(DBIL)weredetectedbeforeandaftertreatment,andthetherapeuticeffectw

4、asevaluatedandadversereactionswererecordedduringtreatment.ResultsTherewasnosignificantdifferencebetweenthetwogroupsinTBILandDBILbeforetreatment(P>0.05).Aftertreatment,TBIL,DBILconcentrationsofthetwogroupsweresignificantlylowerthanbeforetreatment,andtheTBIL,DBIL

5、concentrationofobservationgroupweresignificantlylowerthanthoseofcontrolgroupaftertreatment,andthedifferencewasstatisticallysignificant(P〈0.05).Theeffectiverateofthecontrolgroupwas90.9%,theeffectiverateoftheobservationgroupwas95.9%，therewasnosignificantdifferenc

6、ebetweenthetwogroups(P>0.05).Theincidenceofadversereactionsinobservationgroupwas13.7%，incontrolgroup32.5%,thedifferencewassignificantlyoftwogroups(P<0.05).ConclusionTwokindsofbluelightirradiationhavegoodclinicaleffect.Whiletheclinicalcurativeeffectissimilar,int

7、ermittentphototherapycaneffectivelyreducethebilirubinconcentrationandthechanceofadverseeventsinchildren,canandimprovetreatmentoutcomesandlifequality.Itisworthyofclinicalapplication.长时间的蓝光持续照射，容易导致患儿烦躁不安，依从性较差，导致护理难度增加，患儿康复效果差，形成恶性循环［12］;且研宄显示持续照射蓝光还可能损伤新生儿染色体［1

8、3］。间歇蓝光照射符合黄疸的组织分布，待深部胆红素转移至体表并达到一定浓度后进行光照，每次光照治疗效率高，可以有效消除新生儿皮肤?表组织问隙中的问接胆红素，达到降低体内总胆红素水平的目的［14-15］。本研究结果显示，治疗后两组TBIL、DBIL浓度均较治疗前显著降低，且观察组治疗后TBIL、DBIL浓度显著低于对照组,差异具有统计学意义(P