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早期护理干预对新生儿黄疸及体重的影响
引用本文:姚宗兰,肖竹梅,尹丛友.早期护理干预对新生儿黄疸及体重的影响[J].中华现代护理杂志,2008,14(28):2959-2961.
作者姓名:姚宗兰  肖竹梅  尹丛友
作者单位:姚宗兰 (重庆医科大学附属第二医院产科,400010); 肖竹梅 (重庆医科大学附属第二医院产科,400010); 尹丛友 (重庆医科大学附属第二医院产科,400010);
摘    要:目的 研究早期干预对新生儿黄疸及体重的影响,防止新生儿高胆红素血症的发生.方法 将健康足月新生儿320例随机分为干预组和对照组,干预组新生儿给予早期干预(早期喂养,母乳充足前按需添加配方奶.进行游泳和抚触),对照组仅给予新生儿常规护理.记录两组新生儿胎便初排时间,胎便转黄时间.每口测量新生儿体重,经皮测胆红素值.结果 干预组经皮胆红素值明显低于对照组,差异有统计学意义(P<0.01),干预组新生儿第5天体重明显高于对照组,两组比较差异有统计学意义(P<0.01).结论 示早期护理干预能有效降低胆红素值,减少新生儿高胆红素血症的发生率,还可减少新生儿体重下降,增加出院体重.

关 键 词:新生儿黄疸  体重  护理干预

Effects of early nursing intervention on neonatal jaundice and weight
YAO Zong-lan,XIAO Zhu-mei,YIN Cong-you.Effects of early nursing intervention on neonatal jaundice and weight[J].Chinese Journal of Modern Nursing,2008,14(28):2959-2961.
Authors:YAO Zong-lan  XIAO Zhu-mei  YIN Cong-you
Abstract:Objective To study the effects of early intervention on neonatal jaundice and body weight, thereby preventing the occurrence of hyperbilirubinemia in newborns. Methods 320 healthy newborns were randomly divided into the two groups of the intervention group and the control group, with 160 cases in each group. All neonates of the intervention group were given the early intervention, including early breast-feeding, formula milk before the adequate breast-feeding, swimming and massaging. There was no nursing intervention for the control group, only the general nursing. The first defecation time, the first yellow defecation time, body weight in everyday, bilirubin value per cutem were measured and recorded. Results The bilirnbin value of the intervention group was much lower than that of the control group. The difference had statistical meaning (P < 0. 01). The body weight of newborns in the intervention group was much higher than that of the control group 5 days after born. There was statistical difference between the two groups (P < 0. 01). Conclusions Early nursing intervention can mitigate the bilirubin value effectively, reduce the incidence rate of hyperbilirnbinemia in newborns, reduce the decrease of body weight in newborns, and raise the body weight on discharge.
Keywords:Neonatal jaundice  Body weight  Nursing intervention
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