摘要
目的研究中西医结合护理在新生儿黄疸中的应用效果。方法随机抽取236例新生儿黄疸患儿作为研究对象,采用随机综合序贯法分为参照组和实验组,各118例。参照组给予常规护理,实验组在参照组护理基础上协同中西医联合护理。观察记录两组患儿黄疸消退时间、胎便变黄时间及干预总有效率,同时对患儿血清总胆红素(TBIL)、结合胆红素(DBIL)、非结合胆红素(IBIL)等指标急性测定,后进行对比分析。结果 (1)实验组黄疸消退时间、胎便变黄时间与参照组相比明显要短,差异有统计学意义(P <0.05)。(2)实验组干预总有效率为97.46%,参照组干预总有效率为84.75%,差异有统计学意义(P <0.05)。(3)实验组TBIL、DBIL、IBIL等指标与参照组相比明显要低,差异有统计学意义(P <0.05)。结论中西医结合护理在新生儿黄疸中的应用显著,可准确改善其TBIL、DBIL、IBIL等指标,缩短临床症状消退时间,促使其尽快恢复正常,具有较高临床推广价值。
Objective To study the application effect of integrated traditional Chinese and western medicine nursing in neonatal jaundice. Methods 236 neonates with jaundice were randomly selected as the research subjects. According to the randomized syntheticsequential method,they were divided into the reference group and the experimental group, with 118 cases in each group. The reference group was given routine nursing while the experimental group was givenintegrated traditional Chinese and western medicine nursing on the basis of nursingin the reference group. Time for jaundice regression, the time of yellowing of feces and the total effective rate of intervention of neonates in two groups were observed and recorded. Serum total bilirubin (TBIL), conjugated bilirubin (DBIL), unconjugated bilirubin (IBIL) and other indexes of neonates were detected. Then those indexes were compared and analyzed. Results (1) Time for jaundice regression, the time of yellowing of feces in the experimental group were significantly shorter than those in the reference group, with statistical significance (P < 0.05).(2) The total effective rate of intervention of the experimental group was 97.46% and that of the reference groupwas 84.75%, with statistical significance (P < 0.05).(3) The indexes of TBIL, DBIL and IBIL in the experimental group were significantly lower than those in the reference group, with statistical significance (P < 0.05). Conclusion Application of integrated traditional Chinese and western medicine nursing in neonatal jaundice has significant effect. It can saccurately improve TBIL, DBIL, IBIL and other indexes, shorten the disappearance time of clinical symptoms, and prompt the recovery of neonates as soon as possible, which has relative high clinical value of promotion.
作者
梁洁梅
LIANG Jiemei(Department of TCM Physiotherapy Pediatrics, Luoding Maternal and Child Health Hospital, Luoding 527200, China)
出处
《中国医药科学》
2019年第8期163-165,共3页
China Medicine And Pharmacy
关键词
中西医
护理
新生儿
黄疸
血清总胆红素
结合胆红素
非结合胆红素
Chinese and western medicine
Nursing
Neonates
Jaundice
Serum total bilirubin
Conjugated bilirubin
Unconjugated bilirubin
