外周动静脉同步换血疗法治疗新生儿高胆红素血症的效果观察

目的:探讨外周动静脉同步换血疗法在新生儿高胆红素血症中的临床效果。方法:选择60例高胆红素血症患儿作为研究对象,患儿接受外周动静脉同步换血治疗,同时给与全程护理,对比治疗前后的临床效果,设计问卷调查患儿家属对本次护理的满意度。结果:60例患儿顺利完成治疗,平均换血时间2.6±1.4h,换血后的总胆红素、直接胆红素和间接胆红素水平显著下降,同治疗前比较差异显著(P0.05),治疗过程中未出现并发症,均痊愈出院;患儿家属对本次护理满意度为100%。结论:外周动静脉同步换血疗法是治疗新生儿高胆红素血症的有效方案,全程护理促进了治疗效果和医疗服务质量。

Effectiveness research of peripheral arteriovenous synchronous exchange transfusion in the treatment of neonatal hyperbilirubinemia

Objective To investigate clinical effects of peripheral arteriovenous synchronous exchange transfusion in the treatment of neonatal hyperbilirubinemia. Method 60 cases of newborns with hyperbilirubinemia were selected as research object, who received treatment in our hospital from February 2010 to August 2012. Peripheral arteriovenous synchronous exchange transfusion was taken by the newborns, While the entire care was also implemented. Clinical effects of treatment were compared, and families of newborns for this nursing satisfaction were investigated by questionnaire. Results 60 cases of children completed the treatment successfully, and av- erage shake - time was （2. 6 ＋ 1.4） h. Total bilirubin, direct bilirubin and indirect bilirubin levels after exchange transfusion de- creased significantly, with a significant differences compared with before treatment （P 〈 0.05 ）. There were no complications during treatment. All newborns recovered after discharge. Families of children for this nursing satisfaction were 100%. Conclusion Peripheral arteriovenous synchronous exchange transfusion is the effective programs in the treatment of neonatal hyperbilirubinemia. Entire care can help clinical effects and medical treatment services.