中医护理干预联合光照疗法治疗新生儿黄疸临床研究
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R722.17;R248.4

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Clinical Study on Chinese Medicine Nursing Intervention Combined with Photothera⁃ py for Neonatal Jaundice
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    摘要:

    目的:观察中医护理干预联合光照疗法治疗新生儿黄疸的临床疗效。方法:将122例新生儿黄疸随机分为2组,对照组61例采用光照疗法配合常规护理,观察组61例采用光照疗法配合中医护理干预;观察比较2组干预前后黄疸指数、血清间接胆红素水平变化;比较2组首次排便时间、胎便转黄时间、黄疸消退时间及不良反应发生情况。结果:干预3 d、5 d、7 d,2组黄疸指数、血清间接胆红素均较治疗前显著降低(P<0.05);且观察组各时间点的黄疸指数、血清间接胆红素均明显低于对照组(P<0.05)。干预后,观察组首次排便时间、胎便转黄时间、黄疸消退时间均较对照组明显缩短,差异有统计学意义(P<0.05)。不良反应发生率观察组为4.92%,对照组为25.24%,2组比较,差异有统计学意义(P<0.05)。结论:中医护理干预联合光照疗法治疗新生儿黄疸效果显著,可明显降低患儿黄疸指数、血清间接胆红素,加速患儿康复,且不良反应较少。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Chinese medicine nursing intervention combined with phototherapy for neonatal jaundice. Methods:A total of 122 cases of neonates with jaundice were randomly divided into two groups,61 cases in each group. The control group was given phototherapy combined with routine nursing,and the observation group was given phototherapy combined with Chinese medicine nursing intervention. The changes of the levels of jaundice indexes and serum indirect bilirubin before and after intervention in the two groups were observed and compared. The first defecation time,the time of meconiun turning yellow,the extinction time of jaundice and the incidence of adverse reactions in the two groups were compared. Results: After intervention for three, five and seven days respectively, the levels of jaundice indexes and serum indirect bilirubin in the two groups were significantly decreased when compared with those before treatment(P<0.05); the above levels at each time point in the observation groupwere significantly lower than those in the control group(P<0.05). After intervention,the first defecation time,the time of meconiun turning yellow and the extinction time of jaundice in the observation group were significantly shortenedwhen compared with those in the control group,the difference being significant(P<0.05). The incidence of adverse reactions was 4.92% in the observation group and 25.24% in the control group, the difference being significant(P<0.05). Conclusion: Chinese medicine nursing intervention combined with phototherapy has significant effect in treating neonatal jaundice,which can significantly reduce the jaundiceindexes and serum indirect bilirubin of neonates,and accelerate their recovery,with few adverse reactions.

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林海芳,叶淑芳,胡丽娅,何春风.中医护理干预联合光照疗法治疗新生儿黄疸临床研究[J].新中医,2020,52(12):196-198

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  • 在线发布日期: 2020-06-15
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