早产儿高胆红素血症的临床疗效及护理方法

论文编号:HL121  论文字数:8726.页数:24

论文题目：早产儿高胆红素血症的临床疗效及护理方法
摘　要
目的
 探讨蓝光不同照射方法对治疗早产儿高胆红素血症的临床疗效及护理方法。
方法
 本研究采用病例对照研究，对本院出生发生新生儿黄疸的早产患儿162例，随机分为观察组与对照组，观察组79例，采用每次6-8小时短时多次蓝光照射治疗法；对照组选择83例，采用传统长时间12小时以上蓝光照射治疗。对比两组消退显效率、总有效率和副作用发生率。
结果  
 观察组与对照组黄疸消退显效率、总有效率均无显著性差异，而副作用：皮疹、腹泻及母乳减少等发生率明显较对照组减少，经统计学检验，两组有显著性差异（p<0.05）。
结论
 短时多次蓝光照射有效治疗早产新生儿轻中度黄疸，并有利减少副作用。
关键词：蓝光照射；早产儿；高胆红素血症
 
 
Title: Proper nursing measures to improve the survival rate of premature children
Speciality: Nursing
Applicant: Zhaoguangyun
Supervisor:Wangliqin
ABSTRACT
Objective  To investigate the effect of short-term and repeated blu-ray on the premature infant’s pathogenic jaundice.
Methods All the premature infants with pathogenic jaundice who were born in our hospital were monitored by JD-2 pass-skin jaundice tester,79 mild and moderate cases whose iaundice index were 12-18mg/dl were chosen as objeets, and treated by blu-ray short-termly and repeatedly every 6-8 hours．At the corresponding time period，we chose 83 cases with the same iaundice index average value and same cause of disease as tlle control group，and they were traditionally treated with blu-ray for 12 hours or more．
Results  There is no obvious difference of the rates of jaundice extinction and effective between observation group and control group，but the rate of the side-effect，such as rash、diarrhea、reducing of milk，obviously decreases，and has a significant difference in statistics．
Conclusions Treatment of the premature infants with pathogenic jaundice with blu-ray short-termly and repeatedly is effective and can reduce the side-effects．
KEY WORDS: Blue light emitting; Premature Infant ; Hyper billiru binemia
 
目  录
1 绪 论 1
1.1背景及意义 1
1.2研究目的及目标 2
1.3关键词及定义 2
1.4文献回顾 3
2 研究设计 6
2.1 研究对象 6
2.2 一般资料 7
2.3 研究方法 7
2.4 研究步骤 7
3 研究结果 9
3.1两组蓝光治疗效果比较 9
3.2两组副作用发生例数比较 9
4 讨论 11
4.1蓝光照射对新生儿黄疸的效果 11
4.2蓝光照射早产儿中的护理 13
4.3断蓝光照射和连续蓝光照射的效果比较 14
5 推论及建议 16
致    谢 17
参考文献 18