抚触护理对新生儿排便、奶量及高胆红素血症的影响

目的探讨抚触护理在新生儿高胆红素血症中的应用效果。方法2010年3月—2012年12月期间收治的高胆红素血症患儿共100例，随机分为实验组和对照组各50例，对照组采用常规护理模式，实验组在常规护理的基础上再加用抚触护理，比较两组患儿的护理前后的黄疸指数、黄疸持续时间及血清总胆红素，并对两组患儿护理期间每日奶量、排便次数、哭闹及睡眠时间进行观察比较。结果两组患儿护理前经皮黄疸指数及血清总胆红素差异均无统计学意义，P〉0．05，但实验组患儿经过抚触护理后黄疸指数明显较对照组降低且黄疸持续时间较对照组短；抚触护理3d后实验组血清胆红素较对照组有所降低，且于抚触护理6d后降低得更加明显，差异均有统计学意义，P〈0．05。实验组患儿每日奶量、排便次数及睡眠时间较对照组明显增多，而对照组患儿哭闹时间明显较实验组高。差异均有统计学意义，P〈0．05。结论抚触护理在改善新生儿高胆红素血症，有显著疗效，并可促进新生儿消化，排便，睡眠，减少新生儿哭闹时间，值得临床推广应用。

Influence of touching nursing care on neonatal defecation, milk intake and hyperbilirubinemia

Objective To explore the effect of touching nursing care on neonatal hyperbilirubinemia. Methods During March 2010 December 2012,100 cases of hyperbilirubinemia were reviewed. According to the different nursing methods, patient were divided into experimental group and control group with 50 cases in each group, the control group with routine nursing mode, while the experimental group combined with touching nursing on the basis of routine nursing. The icterus index ,the duration of jaundice and serum total bilirubin were compared before and after nursing between the two groups and daily milk intake, defecation frequency, crying and sleep duration were ob served and compared. Results In the two groups before and after the nursing care skin jaundice index and serum total bilirubin showed no significant difference ,P 〉 0.05. but in the experimental group after touching nursing jaundice index was significantly lower than that in control group and jaundice duration is shorter than that in the control group. Three days after touching nursing in experimental group compared with the control group, serum bilirubin was decreased, which decreased more obviously after 6 days. The differences were statis tically significant,P 〈 0.05. In the experimental group daily milk intake,the frequency of defecation and sleep time, compared with the control group, increased significantly, while in the control group, the children crying time was significantly higher than that in experimental group. The differences were statistically significant （ P 〈 0.05 ）. Conclusions Touching nursing improves neonatal hyperbilirubinemia, which has obvious curative effect, and can promote neonatal digestion, defecation, sleep, reduce the newborn crying time, therefore, it is worthy of clinical application.