抚触护理联合熊去氧胆酸治疗新生儿胆汁淤积性黄疸的临床观察

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1、抚触护理联合熊去氧胆酸治疗新生儿胆汁淤积性黄疽的临床观察【摘要】目的：观察抚触护理联合熊去氧胆酸治疗新生儿胆汁淤积性黄疽的临床效果。方法：选取本院2014年8月-2016年9月收治的68例胆汁淤积性黄疽的新生儿患儿，按随机数字表法分为对照组和观察组，每组34例。两组在使用常规综合治疗的基础上，对照组增加服用熊去氧胆酸，观察组联合使用抚触护理及熊去氧胆酸治疗，两组均治疗10do比较两组患儿的血清胆红素浓度，黄疸指数，NBNA评分，日排便次数，胎便初排时间，胎便转黄时间。结果：经过10d治疗后，观察组的血清胆红素浓度、黄疸指数、NBNA评分分别为（imol/L,

2、mg/dL，分，均优于对照组，差异均有统计学意义；观察组的日排便次数、胎便初排时间、胎便转黄时间分别为次、h、h，均优于对照组，差异均有统计学意义。结论：抚触护理联合熊去氧胆酸治疗新生儿胆汁淤积性黄疸临床效果佳，有利于患儿病情的改善和健康的恢复。【关键词】新生儿胆汁淤积性黄疸；抚触护理；熊去氧胆酸；新生儿ObservationofClinicalEfficacyofTouchNursingCombinedwithUrsodeoxycholicAcidonInfantswithCholestaticJaundice/WENMei-lian,CHENHao.//

3、MedicalInnovationofChina，2017，14:079-082【Abstract】Objective：ToobservetheclinicalefficacyoftouchnursingcombinedwithUrsodeoxycholicAcidtreatmentoninfantswithcholestaticjaundice.Method：FromAugust2014toSeptember2016,68neonateswithIWCJtreatedinourhospitalwereselected，anddividedthemintoo

4、bservationgroupandcontrolgroupaccordingtotherandomnumbertablemethod，34neonatesineachgroup.ThecontrolgroupwastreatedbyUrsodeoxycholicAcidfor10days，theobservationgroupwastreatedbytouchnursingcombinedwithUrsodeoxycholicAcidfor10days.Afterthetreatment，theictericindex，thescoreofNBNA，TBI

5、L，perdaydefecationtimes，firstdefecationtimeandmeconiumchangeyellowtimeoftwogroupswereassessed.Result:After10daystreatment,Theictericindex，thescoreofNBNAandtheTBILoftheobservationgroupweregmol/L,mg/dL，pointrespectively，whichwereallbetterthanthoseofthecontrolgroup，thedifferencesweres

6、tatisticallysignificant.Theperdayefecationtimes，firstdefecationtime，meconiumchangeyellowtimeoftheobservationgroupweretimes，h,hrespectively，whichwereallbetterthanthoseofthecontrolgroup，thedifferenceswerestatisticallysignificant.Conclusion:Theclinicalefficacyoftouchnursingcombinedwit

7、hUrsodeoxycholicAcidtreatmentonIWCJiseffective，itisbeneficialtodisease-modifyingandrehabilitationofneonate.【Keywords】Infantswithcholestaticjaundice；Touchnursing；UrsodeoxycholicAcid；NeonateFirst-author'saddress：MaternalandChildHealthCareFamilyPlanningServiceCenterofLianzhou，Lianzhou

8、513400,Chinadoi：10.3969/j.