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1、蓝光联合护理干预对新生儿黄疸临床问题及策略[摘要]目的探讨蓝光联合护理干预对新生儿黄疸的治疗效果。方法回顾性分析2011年5月〜2012年12月在本院治疗的新生儿黄疸病例210例,随机分为观察组和对照组各105例,观察组采用蓝光联合护理干预,对照组采用药物治疗配合常规护理,比较两组患者治疗效果、血生化指标和家属满意度。结果观察组患儿行蓝光联合护理干预治疗后,总有效率为96.2%,高于对照组(81.0%),两组比较差异有统计学意义(P<0.05)o血生化指标结果指出,治疗后两组患儿总胆红素、游离胆红素及结合胆红素均下降,与治疗前
2、比较差异有统计学意义(P&t;0.05);治疗后观察组患儿总胆红素、游离胆红素及结合胆红素均低于对照组,两组比较差异有统计学意义(P<0.05)o观察组患儿家属满意度明显高于对照组(P<0.05)o结论蓝光联合护理干预可以有效治疗新生儿黄疸,降低游离胆红素,提高患者满意度,具有一定的临床推广价值。[关键词]新生儿黄疸;蓝光照射;护理[中图分类号]R473.72[文献标识码]B[文章编号]1673-9701(2015)01-0077-03Theclinicalvalueofbluelighttherapycombinedn
3、ursinginterventionontheneonataljaundiceXINGLiyinglCHENLiwenlWUYirdGUANXiangrong21.DepartmentofPediatrics,MaternalandChildHealthHospitalofShengzhouCityinZhejiangProvinee,Shengzhou312400,China;2.DepartmentofObstetricsandGynecology,ZhejiangProvincePeoplesHospital,Hangzhou
4、310014,China[Abstract]ObjectiveToinvestigatetheeffectofcombinednursinginterventiononthebluelighttherapyintreatmentofneonataljaundice.MethodsAretrospectiveanalysisof210casesofneonataljaundicetreatedfromMay2011toDecember2012inourhospital,theywererandomlydividedintoobserv
5、ationgroupandcontrolgroup,eachof105cases,observationgrouptreatedwithbluelighttherapyjointnursinginterventionandthecontrolgrouptreatedwithdrugtreatmentandroutinecare,patientoutcomes,bloodbiochemistryandfamilysatisfactionwerecompared.ResultsAfternursinginterventioninchil
6、drenwithbluelighttherapytreatment,thetotaleffectiverateoftheobservationgroupwas96.2%,higherthancontrolgroup(81.0%),andtherewassignificantdifferenee(P<0.05)・Thebloodbiochemistryresultsindicatedthatafterthetreatmentthetotalbilirubin,freebilirubinandconjugatedbilirubin
7、ofthetwogroupswerealldecreased,andtherewassignificantdiffereneebetweenthetwogroups(P<0.05)・Afterthetreatment,thetotalbilirubin,freebilirubinandconjugatedbilirubinoftheobservationgroupwerealllowerthanthoseofthecontrolgroupandtherewassignificantdifferenee(P<0.05)・T
8、heobservationgroupwassignificantlyhigherinchildrenwithfamilysatisfaction(P<0.05)・ConclusionThebluelightandnursingi