护理干预对重症新生儿高胆红素血症行外周动静脉同步换血治疗的临床研究

目的探讨外周动静脉同步换血治疗重症新生儿高胆红素血症的疗效及护理干预方法。方法对70例重症胆红素血症患儿采用外周动静脉同步换血治疗,即同时、同步由外周静脉注血,挠动脉或肱动脉抽血。换血前、中、后检测血生化、肚功能、血培养及多功能监护仪监测患儿生命体征及血氧饱和度等。结果换血后血清总胆红素、间接胆红素显著下降,换出率分别为52.66%、52.25%,有显著性差异（P〈0.05）,生命体征及血氧饱和度稳定,换血后无明显不良反应。结论外周动静脉同步换血治疗重症高胆红素血症效果好、快捷、安全、并发症少,值得临床推广。

Nursing intervention on synchronous exchange transfusion of peripheral artery and vein to treat 70 neonates with severe hyperbilirubinemia.

Objective To explore the effects and nursing methods of synchronous exchange transfusion of peripheral artery and vein to treat 70 neonates with severe hyperbilirubinemia.Methods 70 cases with severe hyperlilirulinemia were selected and rteated by synchronous exchange transfusion of pevipheral artery and vein,that is peripheral vein transfusion,radial artery of brachial artery bleeding at the same rate of infusion.Examinations suchas,blood bilchemistry,liver function,blood cultrue of meonates were performed...