摘要
目的 探讨新生儿日间光疗模式在新生儿高胆红素血症治疗中的应用效果,以期为临床治疗提供参考。方法 本研究选取湖南省常德市妇幼保健院2020年1月—2021年12月收治的300例高胆红素血症患儿作为研究对象,以2020年1—12月未接受新生儿日间光疗模式干预的150例患儿作为对照组,以2021年1—12月接受新生儿日间光疗模式干预的150例患儿作为观察组。对照组患儿入住新生儿病房,并予以蓝光治疗和护理。观察组患儿在新生儿日间病房予以蓝光治疗和护理。比较2组患儿总胆红素水平恢复正常所需时间、治疗时间、母婴分离时间、住院费用。比较2组患儿治疗前后(总胆红素水平恢复正常时)直接胆红素、间接胆红素以及总胆红素水平。比较2组患儿母乳喂养率。治疗结束后采用本院自制的家属满意度评估表评估2组患儿家属对本次治疗的满意度。结果 观察组患儿总胆红素水平恢复正常所需时间、治疗时间、母婴分离时间均短于对照组,且治疗费用少于对照组,差异均有统计学意义(P<0.05)。治疗前,2组患儿直接胆红素、间接胆红素以及总胆红素水平比较,差异无统计学意义(P>0.05)。治疗后,2组患儿直接胆红素、间接胆红素以及总胆红素水平均低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患儿母乳喂养率及家属总满意度为83.33%及92.00%,高于对照组的66.67%及83.33%,差异有统计学意义(P<0.05)。结论 日间光疗模式在新生儿高胆红素血症治疗中的效果显著,有助于降低患儿胆红素水平,缩短母婴分离及治疗时间,提高母乳喂养率,减少治疗费用,增加患儿家属满意度,值得临床推广应用。
Objective To investigate the effect of daytime phototherapy in the treatment of neonatal hyperbilirubinemia, so as to provide a reference for clinical treatment. Methods A total of 300 children with hyperbilirubinemia admitted to Changde Maternal and Child Health Care Hospital from January 2020 to December 2021 were selected as the study subjects. A number of 150 children who did not receive neonatal daytime phototherapy intervention from January to December 2020 were selected in the control group, and 150 children who received neonatal daytime phototherapy intervention from January to December 2021 were selected as the observation group. The children in the control group were admitted to the neonatal ward and treated with blue light care. The children in the observation group were treated with blue light care in the neonatal daytime ward. The time required for total bilirubin levels to return to normal, treatment time, mother-infant separation time, and treatment costs were compared between the 2 groups. Direct bilirubin, indirect bilirubin, and total bilirubin levels were compared between the 2 groups before and after treatment(when total bilirubin levels returned to normal). Breastfeeding rates were compared between the 2 groups. At the end of the treatment, the satisfaction of the family members of the children in the two groups with this treatment was assessed using a self-made family satisfaction assessment form from our hospital. Results The time required for the total bilirubin level to return to normal, treatment time, and mother-infant separation time in the observation group were shorter than those in the control group, and the hospitalization costs were less than those in the control group, with statistically significant differences(P<0.05). Before treatment, there was no significant difference in direct bilirubin, indirect bilirubin, and total bilirubin levels between the two groups(P>0.05). After treatment, direct bilirubin, indirect bilirubin, and total bilirubin levels in the two groups were lower
作者
杨柳
Yang Liu(Neonatology Department,Changde Maternal and Child Health Care Hospital,Changde Hunan 415000,China)
出处
《保健医学研究与实践》
2022年第10期66-69,共4页
Health Medicine Research and Practice
基金
常德市科技创新计划项目(常科函[2021]66-29)。
关键词
日间光疗
新生儿高胆红素血症
母乳喂养
护理满意度
Daytime phototherapy
Neonatal hyperbilirubinemia
Breastfeeding
Satisfaction with care
