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| Application effect of fine management in nursing care of neonatal hyperbilirubinemia |
| DING Min HU Zhangmin YIN Yiju ZHOU Qian▲ |
| Department of Neonatology, Anhui Children’s Hospital, Anhui Province, Hefei 230041, China |
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Abstract Objective To explore the effect of fine management in nursing care of neonatal hyperbilirubinemia. Methods A total of 80 cases of full-term neonatal hyperbilirubinemia in the Department of Neonatal Pediatrics, Anhui Children’s Hospital from January to August 2020 were selected, they were divided into the observation group and the control group by the random number table method, with 40 cases in each group. The control group was given routine nursing, and the observation group was given fine management, they were received continuous nursing for five days. The blue light treatment time, jaundice subsided time, length of hospital stay, serum total bilirubin level, body weight and complications were compared between the two groups. Results The blue light treatment time, jaundice regression time and length of hospital stay in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P ＜ 0.05); there were significant differences in the level of serum total bilirubin, the comparison of each time point and the interaction between the two groups (P ＜ 0.05), further pairwise comparison showed that the levels of serum total bilirubin in the two groups at 2, 4 and 5 days after nursing were significantly lower than that before nursing, at 4 and 5 days after nursing were lower than that at 2 days after nursing, and at 5 days after nursing was lower than that at 4 days after nursing, the differences were statistically significant (P ＜ 0.05), compared between groups, the levels of serum total bilirubin in the observation group were lower than those in the control group at 2, 4 and 5 days after nursing, and the differences were statistically significant (P ＜ 0.05); the body weight of the observation group was significantly higher than that of the control group (P ＜ 0.05); the total incidence of diarrhea, fever and rash in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P ＜ 0.05), there was no need for exchange transfusion and bilirubin encephalopathy in both groups. Conclusion Fine management in neonatal hyperbilirubinemia nursing effect is significant, which is beneficial to the recovery of children, and can significantly shorten the hospitalization time, relieve the tension of neonatal ward, improve the turnover rate of hospital bed, and reduce the hospitalization cost of children, which is worthy of application and promotion.
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[1] 阿日贡高娃，白小丽.蒙古族和汉族足月新生儿高胆红素血症发病情况及相关影响因素[J].中国妇幼保健，2017，32（11）：2372-2374.
[2] 何翠红，屈艺.新生儿高胆红素血症与基因多态性研究进展[J].中国当代儿科杂志，2020，22（3）：280-228.
[3] 刘凤，吴明赴.探讨新生儿高胆红素血症的危险因素及临床处理[J].系统医学，2017，2（13）：97-100.
[4] 姚丽平，蒙丹华，潘新年，等.中、高危新生儿高胆红素血症患儿脑功能分析[J].中华妇幼临床医学杂志：电子版，2017，13（3）：342-348.
[5] 丁丽丽.间歇蓝光照射配合茵栀黄颗粒治疗新生儿高胆红素血症的相关研究[J].中国妇幼保健，2018，33（23）：5498-5500.
[6] 林艾.茵栀黄颗粒、蓝光照射联合双岐三联活菌胶囊治疗新生儿黄疸的机制研究[J].海南医学院学报，2017，23（3）：397-400.
[7] 吴春萍.优质护理干预措施在新生儿高胆红素血症蓝光治疗中的应用[J].中西医结合心血管病电子杂志，2018， 6（36）：2-3.
[8] 李瑞雪，曹亚船，奚玉秀.早期多维度照护模式对高胆红素血症新生儿黄疸指数及排便的影响[J].齐鲁护理杂志，2018，24（22）：46-48.
[9] 中华医学会儿科学分会新生儿学组，《中华儿科杂志》编辑委员会.新生儿高胆红素血症诊断和治疗专家共识[J].中华儿科杂志，2014，52（10）：745-748.
[10] 吴丹，华子瑜.遗传因素在新生儿高胆红素血症中的作用[J].儿科药学杂志，2017，23（8）：60-63.
[11] 熊飞林，程波，石炼丽，等.新生儿高胆红素血症危险因素分析及预防措施探讨[J].西南医科大学学报，2019，42（5）：454-457.
[12] 姚拥华，陈玲，许锦平，等.高胆红素血症对婴幼儿神经行为及智能发育的影响[J].中国妇幼保健，2017，32（5）：980-982.
[13] 曾超军，林少莲，林昶.新生儿高胆红素血症对婴幼儿期听力及学龄前发育的影响[J].中华耳科学杂志，2020， 18（1）：68-73.
[14] 王正云.间歇光疗持续光疗治疗新生儿高胆红素血症的临床疗效对比分析[J].河北医学，2017，23（11）：1849-1852.
[15] 宋玖珊，罗程，梁琨.不同蓝光治疗模式对新生儿高胆红素血症疗效的 Meta分析[J].中国儿童保健杂志，2020， 28（3）：299-303.
[16] 王耀霜，杨曼，韩萍，等.新生儿黄疸应用多次短时蓝光照射对其血清胆红素浓度及不良反应的改善作用[J].临床和实验医学杂志，2017，16（10）：995-997.
[17] 唐建明.蓝光照射结合抚触在新生儿黄疸中的应用及对患儿黄疸指数的影响[J].中国妇幼保健，2019，34（1）：110-113.
[18] 乔芳.新生儿早期护理干预对新生儿黄疸的临床效果[J].实用临床护理学电子杂志，2019，4（14）：87-89.
[19] 张文娟，刘慧敏.综合性护理干预配合蓝光治疗新生儿黄疸的护理效果及安全性评价[J].全科口腔医学电子杂志，2019，6（1）：122-127.
[20] 刘晓艳，刘晓蓓，高倩，等.精细化管理模式在手术室护理工作中的应用[J].中国医学伦理学，2018，31（12）：1557-1560.
[21] 王阳子，王静，冯丽霞.精细化护理联合以家庭为中心的护理模式对小耳畸形整形术患儿应用价值[J].中国医疗美容，2018，8（11）：99-102.
[22] 李亚璇，莫茜，孙建华，等.母乳喂养新生儿早期重度高胆红素血症肠道菌群特征研究[J].临床儿科杂志，2019， 37（5）：351-355.
[23] 曹俊.双面蓝光照射治疗新生儿高胆红素血症60例临床疗效观察[J].中国现代医生，2017，55（19）：63-65.
[24] 陈海云，崔华英，陈博文.间歇蓝光照射联合静脉滴注白蛋白治疗新生儿病理性黄疸患儿的临床疗效[J].中华妇幼临床医学杂志：电子版，2019，15（5）：579-584.
[25] 张亚维，李明超，孙慧清，等.关于口服益生菌对新生儿高胆红素血症疗效及其免疫功能的影响分析[J].中国现代药物应用，2017，11（4）：1-3.
[26] 秦桂红，宋冬芳.蓝光联合益生菌治疗新生儿黄疸的临床效果[J].中国医药科学，2019，9（10）：59-62. |
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