护理干预防治早产儿高胆红素血症的效果分析

目的探讨综合护理干预对早产儿高胆红素血症的防治效果。方法将160例早产儿随机分为两组各80例。对照组接受常规治疗和护理，观察组在此基础上给予包括灌肠、抚触、腹部按摩和营养支持在内的综合护理干预。采用钒酸盐法监测两组患儿血清胆红素值，记录黄疸的出现时间、持续时间和消退时间。结果观察组患儿出生后d4和d6的血胆红素值明显低于对照组，差异有统计学意义，均P〈0．01（t=16．142，20．329），而且黄疸出现时间、持续时间和消退时间明显短于对照组，差异有统计学意义，均P〈0．01（t=10．550，17．151，12．981）。观察组高胆红素血症发生率明显低于对照组，差异有统计学意义（X^2=18．829，P〈0．01）。结论综合护理干预可减少早产儿高胆红素血症的发生，从而提高患儿的生存质量。

Effectiveness of Nursing Intervention for Preventing Hyperbilirubinemia in Preterm Infant

Objective To investigate the effectinvess of comprehensive nursing intervention for the prevention of hyperbilirubinemia in preterm infant. Methods A total of 160 preterm infants were randomly assigned to the control and the observation group,each group consisting of 80 cases. The control group received the conventional therapy and nursing intervention,while the observation group was given comprehensive nursing interventions including coloclysis,touching,abdominal massage and nutrient therapy in addition. The vanadate oxidation method was employed to measure the serum total bilirubin levels after birth between two groups, and the time of jaundice presence,duration of jaundice,and regression time of jaundice were noted between two groups,and then a comparative analysis was performed between two groups. Results The serum total bilirubin levels at day 4 and 6 after birth were significantly lower in the observation group than in the control group, demonstrating marked differences between two groups,both P〈0.01（t=16.142, and 20.329 respectively）,while the time of jaundice presence, duration of jaundice, and regression time of jaundice were considerably shorter, with statistically significant differences between two groups, all P〈0.01（t=10.550,17.151 and 12.981, respectively）. The incidence rate for hyperbilirubinemia was substantially lower in the observation than in the control group,showing a profound difference between two groups,P〈0.01（ X^2=18.829）. Conclusion Integrated nursing interventions can reduce the occurrence of the hyperbilirubinemia in preterm infant, thus raising the quality of life of the affecting infant.