摘要
目的探讨采用"贴锡箔法"蓝光治疗新生儿黄疸的护理体会。方法选取2013年3月～2014年10月于广东省东莞市第五人民医院住院的黄疸新生儿260例。按照随机数字表法分为观察组和对照组,每组各130例。两组均采用蓝光照射,对照组采用常规护理,观察组在对照组基础上,蓝光照射时采用"贴锡箔法",观察两组的临床疗效,护理前后的血清胆红素水平,排便、胎便转黄,睡眠时间,观察两组的不良反应发生率及护理满意度。结果观察组患者的总有效率为94.62%,明显高于对照组的82.31%,两组比较差异有统计学意义(P<0.05)。护理后两组患儿的血清胆红素水平明显低于护理前,差异有统计学意义(P<0.05)。护理后观察组患儿的血清胆红素水平明显低于对照组,两组比较差异有统计学意义(P<0.05)。观察组患儿的排便、胎便转黄时间低于对照组,睡眠时间长于对照组,两组比较差异有统计学意义(P<0.05)。观察组患者的不良反应发生率为6.92%,明显低于对照组的20.77%,两组比较差异有统计学意义(P<0.05)。观察组患者的护理满意率为95.38%,明显高于对照组的86.92%,两组比较差异有统计学意义(P<0.05)。结论采用"贴锡箔法"蓝光治疗新生儿黄疸可以明显提高临床疗效,减少不良反应发生率,提高护理满意度,值得临床推广应用。
Objective To explore the experience of ＂posted foil method＂ in blue light treatment of neonatal jaundice. Methods 260 cases of jaundiced neonates in our Hospital From March 2013 to October 2014,They were randomly divided into the control group and observation group,130 cases in each group.The control group received routine nursing care,the observation group used the blue tinfoil cover method and nursing,the clinical curative effect of two groups,the serum bilirubin level before and after nursing,defecation and meconium turning yellow,sleep time,observe the adverse reactions of the two groups and the incidence of nursing satisfaction. Results The total effective rate of the observation group was 94.62%,which was higher than that of the control group 82.31%,and the difference between the two groups was significant（P 〈 0.05）. The serum bilirubin levels in the two groups were significantly lower than those before the nursing care （P 〈 0.05）.The serum bilirubin level of the observation group was significantly lower than that of the control group,the difference between the two groups was significant（P 〈 0.05）. The time of defecation and meconium turning yellow in the observation group was lower than that in the control group,and the sleeping time was longer than that of the control group,the difference between the two groups was significant（P 〈 O.05）.The incidence of adverse reactions in the observation group was 6.92%,significantly lower than 20.77% in the control group,and the difference between the two groups was significant（P 〈 0.05）.The satisfaction rate of nursing in the observation group was 95.38%,which was obviously higher than 86.92% in the control group,and the difference between the two groups was significant（P 〈 0.05）. Conelusion Using the ＂paste foil method＂ blue light in the treatment of neonatal jaundice can significantly improve the clinical efficacy,reduce the incidence of adverse reactions,improve nursing satisfaction,is worthy of clinical application
出处
《中国医药科学》
2017年第21期85-88,共4页
China Medicine And Pharmacy
基金
广东省医学科研课题(A2011725)
关键词
新生儿黄疸
蓝光治疗
贴锡箔法
护理
Neonatal jaundice
Phototherapy
Sticking foil method
Nursing
