摘要目的 探讨不同的早期护理干预对早产儿病理性黄疸的影响.方法 回顾性分析2005年1月至2011年12月早产儿患者126例,随机分为观察组和对照组各63例.对照组采用常规护理方法,观察组在常规护理方法的基础上给予早产儿抚触疗法、温生理盐水通便洗肠、早期温生理盐水洗胃及胃肠减压,同时建立早期母乳胃肠内营养.观察6d两组疗效,比较两组患儿黄疸出现、持续及消退时间,每日经皮测定黄疸指数,并测定血清胆红素.结果 经过不同的护理干预后发现,观察组早产儿病理性黄疸经治疗后总有效率为92.1％,对照组71.4％,两组比较差异有统计学意义(P＜0.05)；两组早产儿病理性黄疸出现时间、持续时间以及消退时间明显少于对照组(P＜0.05)；两组早产儿出生6d内的经皮测定病理性黄疸指数出生第2～6天,观察组黄疸指数明显低于对照组(P＜0.05)；两组早产儿出生第2～6天,观察组血清胆红素均小于对照组(P＜0.05).结论 不同早期临床护理干预可有效治疗病理性黄疸,缩短黄疸的持续时间及消退时间,降低黄疸指数及血清胆红素.

abstractsObjective To explore the effect of different early nursing intervention on pathologic jaundice of premature babies.Methods From January 2005 to December 2011,126 cases of premature babies were retrospectively analyzed.They were randomly divided into observation group and the control group with 63 cases in each.The conventional methods were used in control group,premature babies in the observation group were treated with massage therapy,the warm saline laxative colon hydrotherapy early warm saline gastric layage and decompression,while the establishment of early breast-gastrointestinal with innutrition.6d later,two groups were compared with jaundice appear,sustained and subsided time,daily percutaneous measured jaundice index,and serum bilirubin.Results After different nursing intervention observation group premature babies with pathological jaundice after treatment,the total effective rate was 92.1％,compared with the control group (71.4％),the difference was statistically significant (P ＜ 0.05).The observation group of premature babies with pathological jaundice time,duration,and subsided significantly were less than those of the control group (P ＜ 0.05).The pathological jaundice index was measured 2 to 6 days after birth,compared with control group,it was significantly lower (P ＜ 0.05),serum bilirubin was less (P ＜ 0.05).Conclusions Different early clinical nursing intervention can be effective in treating pathological jaundice,and shorten the duration of the jaundice subsided time,reduce the the jaundice index and serum bilirubin.