摘要
目的探讨早期个性化发育支持护理对早产儿病理性黄疸的影响。方法选取137例同期转入NICU的早产儿，按随机数字表法分为干预组69例和对照组68例。对照组患儿遵医嘱给予暖箱复温、抗感染、营养支持、防治低血糖、合理供氧、心电监护及对症护理等。干预组在此基础上，组建团队合作发育支持护理小组，实施早期发育支持护理干预，即早产儿出生后24h内实施早期口腔运动发育支持、胃肠功能发育支持及音乐疗法抚触发育支持为一体的早期发育支持护理模式。结果干预组患儿出生后4d、7d黄疸指数、血清胆红素分别为（8．89±1．56）mg／dL、（100．12±15．23）μmol／L、（11．30±2．52）mg／dL、（149．50±27．50）μmol／L，对照组患儿分别为（9．83±1．12）mg／dL、（112．17±17．36）μmol／L、（14．68±3．29）mg／dL、（170．45±28．63）μmol／L，两组比较，差异均有统计学意义（均P〈0．01）。干预组患儿黄疸出现时间、持续时间、消退时间、监护时间及入暖箱时间分别为（4．36±1．21）d、（8．75±1．34）d、（10．52±2．07）d、（4．62±1．25）d、（9．76±2．05）d，对照组患儿分别为（3．18±1．03）d、（10．52±2．57）d、（11．37±2．62）d、（5．53±1．62）d、（11．75±2．72）d，两组比较，差异均有统计学意义（均P〈0．05，〈0．01）。干预组患儿腹胀缓解时间、吸吮吞咽功能建立时间、达足量喂养时间、体重增长及住院时间分别为（3．53±1．05）h、（6．26±1．31）d、（10．27±1．87）d、（14．75±2．13）g／d、（15．28±2．15）d，对照组患儿分别为（4．37±2．12）h、（7．79±2．15）d、（11．62±2．61）d、（12．43±3．75）g／d、（17．52±2．81）d，两组比较，差异均有统计学意义（均P〈0．01）。干预组患儿血清胃泌素、表皮生长因子水平显著高于对照组，差异有�
Objective To explore the effect of early individualized development support nursing on the pathological jaundice of premature infants. Methods A total of 137 premature infants who were transferred to NICU in the same period were selected and were divided into the intervention group with 69 cases and the control group with 68 cases according to the random number table method. The children in the control group were given warm box temperature, anti-infection, nutritional support, low blood glucose, reasonable oxygen supply, ECG monitoring, and treatment of diseases. For intervention group on this basis, a team was built to cooperate for development support nursing group and implement early development support nursing intervention, which is the early development support nursing mode of early oral movement development support, gastrointestinal function development support and musicotherapy touching development support integrated was implemented 24 hours after premature infants were born. Results The icteric index and serum bilirubin were （8. 89±1.56）mg/dL, （100. 12±15.23 ） μmol/L, （11.30±2. 52）mg/dL and （149. 50±27. 50）μmol/L respectively 4 and 7 days after child patients 9f intervention group were born. The indexes of child patients in control group were （9. 83 ± 1.12 ） mg/dL, （ 112. 17 ± 17.36 ） μmol/L, （ 14. 68 ± 3.29 ） mg/dL and （ 170. 45 ± 28.63 ） μmol/L respectively. Compared with both groups, the difference had statistical significance （P〈0. 01 ）. The icterus occurrence time, duration time, extinction time, monitoring time and time to put into warm box of child patients in intervention group were （4.36± 1.21）, （8.75±1.34）, （10.52±2.07） （4. 62± 1.25） and （9. 76±2. 05） days, and it was （3.18±1.03）, （10. 52±2. 57）, （ 11.37± 2.62 ）, （5.53±1.62） and （11.75±2. 72） days for the child patients in control group. With the comparison of both groups, the difference had statistical significance （ P〈0.05, 〈0.01 ）. The
作者
王士娥
刘艳春
李艳
张显英
廉德花
Wang Shie, Liu Yanchun, Li Yan, Zhang Xianying, Lian Dehua.(Department of Pediatrics, Tengzhou Central People＇s Hospital, Tengzhou 277500, Chin)
出处
《国际护理学杂志》
2018年第5期606-610,661,共6页
international journal of nursing
关键词
早产儿
早期发育支持
病理性黄疸
Premature infant
Early development support
Pathologic jaundice
