中西医结合护理在新生儿黄疸中的应用
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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.
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.
引文
[1]胡建儿,施红霞.预防新生儿黄疸并发胆红素脑病的临床护理[J].中国卫生标准管理, 2017, 27(3):125-126.
[2]刘中梁,张绍新.新生儿黄疸的早期干预及与孕母肝内胆汁淤积症的关联[J].药品评价, 2017, 14(11):55-57.
[3]何南,刘景良,王亚龙.心肌酶水平在新生儿黄疸患儿中的表达及临床意义[J].浙江临床医学, 2016, 18(5):845-847.
[4]王婕,刘百祥.新生儿黄疸的外治法研究进展[J].湖南中医杂志, 2017, 33(6):200-202.
[5]刘中梁,张绍新.新生儿黄疸的早期干预及与孕母肝内胆汁淤积症的关联[J].药品评价, 2017, 14(11):55-57.
[6]杨冬梅.新生儿黄疸血清总胆汁酸和胆红素变化特点及临床意义分析[J].中国实用医药, 2016, 11(14):112-113.
[7]马红梅.新生儿病理性黄疸患儿血清与脑脊液胆红素水平变化及其在病情评估中的价值[J].临床合理用药杂志, 2016, 9(3):92-93.
[8]赵志娟.新生儿肺炎克雷伯菌败血症的临床特点及药物敏感情况[J].中国现代药物应用, 2016, 10(21):105-106.
[9]栾旭.新生儿黄疸护理观察[J].临床医药文献电子杂志, 2017, 4(11):2102.
[10]孟洪,晁爽,刘华仙.早产儿及足月儿黄疸期凝血功能的改变及临床意义[J].血栓与止血学, 2016, 22(3):330-332.
[11]郭其裕,陈建能,郑瑞丹.中医药治疗黄疸型肝炎的临床研究现状[J].临床肝胆病杂志, 2017, 33(5):833-837.
[12]王玲.自拟逐瘀降黄汤治疗新生儿湿热瘀滞型黄疸90例临床观察[J].中医临床研究, 2017, 9(15):55-57.
[13]覃广萍,杨寒微,万芳,等.早产儿及足月儿黄疸期凝血功能的改变[J].当代医学, 2017, 23(24):41-44.
[14]李莉.综合性护理干预在新生儿黄疸护理中的临床应用效果[J].中国现代医生, 2016, 54(36):146-147.
[15]付芬芬.新生儿黄疸中西医预防及护理干预研究进展[J].全科护理, 2017, 15(4):409-411.
[2]刘中梁,张绍新.新生儿黄疸的早期干预及与孕母肝内胆汁淤积症的关联[J].药品评价, 2017, 14(11):55-57.
[3]何南,刘景良,王亚龙.心肌酶水平在新生儿黄疸患儿中的表达及临床意义[J].浙江临床医学, 2016, 18(5):845-847.
[4]王婕,刘百祥.新生儿黄疸的外治法研究进展[J].湖南中医杂志, 2017, 33(6):200-202.
[5]刘中梁,张绍新.新生儿黄疸的早期干预及与孕母肝内胆汁淤积症的关联[J].药品评价, 2017, 14(11):55-57.
[6]杨冬梅.新生儿黄疸血清总胆汁酸和胆红素变化特点及临床意义分析[J].中国实用医药, 2016, 11(14):112-113.
[7]马红梅.新生儿病理性黄疸患儿血清与脑脊液胆红素水平变化及其在病情评估中的价值[J].临床合理用药杂志, 2016, 9(3):92-93.
[8]赵志娟.新生儿肺炎克雷伯菌败血症的临床特点及药物敏感情况[J].中国现代药物应用, 2016, 10(21):105-106.
[9]栾旭.新生儿黄疸护理观察[J].临床医药文献电子杂志, 2017, 4(11):2102.
[10]孟洪,晁爽,刘华仙.早产儿及足月儿黄疸期凝血功能的改变及临床意义[J].血栓与止血学, 2016, 22(3):330-332.
[11]郭其裕,陈建能,郑瑞丹.中医药治疗黄疸型肝炎的临床研究现状[J].临床肝胆病杂志, 2017, 33(5):833-837.
[12]王玲.自拟逐瘀降黄汤治疗新生儿湿热瘀滞型黄疸90例临床观察[J].中医临床研究, 2017, 9(15):55-57.
[13]覃广萍,杨寒微,万芳,等.早产儿及足月儿黄疸期凝血功能的改变[J].当代医学, 2017, 23(24):41-44.
[14]李莉.综合性护理干预在新生儿黄疸护理中的临床应用效果[J].中国现代医生, 2016, 54(36):146-147.
[15]付芬芬.新生儿黄疸中西医预防及护理干预研究进展[J].全科护理, 2017, 15(4):409-411.