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湖南省常德市妇幼保健院新生儿科
纸质出版日期:2022,
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杨柳. 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[J]. 保健医学研究与实践, 2022,19(10):66-69.
Yang Liu. Effect of daytime phototherapy on neonatal hyperbilirubinemia[J]. Health Medicine Research and Practice, 2022,19(10):66-69.
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 than those before treatment
with the observation group lower than the control group
and the differences were statistically significant(P<0.05). The breastfeeding rate and total satisfaction rate of family members in the observation group were 83.33% and 92.00%
which were significantly higher than those in the control group(66.67% and 83.33%
P<0.05). Conclusion Daytime phototherapy is effective in the treatment of neonatal hyperbilirubinemia
which helps to reduce the bilirubin level
shorten the mother-infant separation time
improve the breastfeeding rate
reduce the cost of treatment and increase the satisfaction of children ’s families. These benefits justify a wider application of this procedure clinically.
日间光疗新生儿高胆红素血症母乳喂养护理满意度
Daytime phototherapyNeonatal hyperbilirubinemiaBreastfeedingSatisfaction with care
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