新生儿黄疸早期干预的临床评价

目的对新生儿黄疸早期干预的临床评价进行探讨。方法我院产科新生儿黄疸180例,将进行了干预治疗的87例分为高胆红素对照组,只进行动态监测未进行干预治疗的93例分为观察组,对两组患儿黄疸高峰期、黄疸消退后的NBNA及生后1、3、6、12个月的智能发育随访结果进行比较。结果两组患儿治疗黄疸高峰期的NBNA值比较差异无统计学意义（P〉0.05）,黄疸消退后高胆红素对照组的NBNA（38.9±1.6）分略高于观察组（38.0±2.6）分,（P〉0.05）;生后1个月时高胆红素对照组的智能发育评分（67.1±13.9）略高于观察组（66.3±12.7）（P〉0.05）;生后3、6、12个月时随访结果则显示两组患儿的评分无统计学意义（P〉0.05）;高胆红素对照组后遗症发生率为3.4%（3例）,观察组后遗症发生率为5.4%（5例）,两组后遗症发生率比较（χ^2=1.40,P〉0.05）。结论如果不存在高危因素,新生儿血清胆红素值偏高于正常值是安全的,但需密切动态监测胆红素情况,一但出现异常即时进行对症处理,而有高危因素的患儿,则一定要积极的干预治疗。

Clinical evaluation of early nursing intervene for neonatal jaundice

Objective To explore the clinical effect of early nursing intervene for neonatal jaundice. Methods Neonatal jaundice was 180 cases in my courtyard obstetric. The 87 cases of neonatal jaundice were divided into high bilirubin control group,who were treated by early nursing intervene. 93 patients were divided into the observation group,who were only given the dynamic monitoring without nursing intervene. In the jaundice fastigium and after Jaundice,NBNA were followed up,and intelligence development results of birth 1,3,6,12 months were followed up. Results The results of two groups were compared. Results Jaundice peak NBNA of two groups had little differences（P〉0.05）. After jaundice,NBNA of control group（38.9±1.6） was slightly higher than that of the observation group（38.0±2.6）（P0.05）. After birth 1 months,intelligent score of high bilirubin control group（67.1 ＋ 13.9） was slightly higher than the observation group（66.3±12.7）,（P〉0.05）. After 3,6,12 months,follow-up results showed that scores of two groups children had little difference（P〉0.05）. The sequelae rate of high bilirubin control group was 3.4%（3 patients）,and the sequelae rate of the observation group was 5.4%（5 cases）,sequelae rates of two groups were compared（χ^2=1.40,P〉0.05）. Conclusion If there is no risk factors,it is safe,that the levels of serum bilirubin in neonates is higher than the normal value,but the bilirubin situation needs the close dynamic monitoring. The abnormal situation should be symptomatic treatment immediately,and risk factors children must be active treatment.