护理干预对早产儿黄疸的疗效影响

目的探讨采用护理干预对早产儿黄疸的防治效果。方法将我科自2008年1月～2010年1月期间收治的90例早产儿随机分为两组,对照组45例采取常规护理,观察组45例在对照组基础上采用温生理盐水灌肠、早期母乳胃肠内营养及全身抚触等一系列护理干预措施,观察两组患儿黄疸及并发症发生情况。结果观察组患儿黄疸出现时间、持续时间及消退时间分别为(4.25±1.18)天、(5.12±1.39)天及(8.56±2.04)天,对照组分别为(2.09±0.98)天、(11.25±1.68)天及(14.21±3.58)天,两组差异有统计学意义(P<0.05)。观察组患儿出生后第1天血清胆红素水平与对照组无统计学差异,但出生后第3天和第7天与对照组比较有显著差异(P<0.05)。观察组患儿腹胀、喂养不耐受及呼吸暂停发生率均低于对照组(P<0.05)。结论对早产儿实施温生理盐水灌肠、早期母乳胃肠内营养及全身抚触等护理干预措施,对早产儿黄疸可起到良好的防治作用,效果显著。

Influence of Nursing Intervention on Prevention and Cure Effect on Icterus in Premature Infant

Objective:To investigate the influence of nursing intervention on prevention and cure effect of icterus in premature infant.Methods:90 premature infants in our hospital were randomly divided into two groups,the control group consisted of 45 premature infants.45 premature infants in experimental observation group were treated by warm saline enema,early enteral nutrition by breast milk,and whole body touch,and were compared with the control group.Results:The occurrence,duration and fade time in experimental observation group were(4.25±1.18) days,(5.12±1.39) days and(8.56±2.04) days,for the control group they were(2.09±0.98) days(11.25±1.68) days and(14.21±3.58) days,the difference was statistically significant(P <0.05).For the experimental observation group,the serum bilirubin levels were not statistically different with the control group,but significantly different(P <0.05) at the 3rd day and 7th day after birth.In observation group,the abdominal distension,feeding intolerance and apnea incidence rate lower than the control group(P <0.05).Conclusion:The implementation of warm saline enema,early enteral nutrition by breast milk,and whole body touch,showed good preventive and cure effect on icterus in premature pnfantcan.