摘要
目的观察新生儿溶血者临床以丙种球蛋白、间断光疗治疗期间给予护理干预,新生儿恢复情况比较。方法选取2013年1月~2017年10月期间我院收治81例新生儿ABO溶血患者,按抽签法随机分为两组,对照组38例(丙种球蛋白、间断光疗、常规护理),观察组43例(给予护理干预),观察患儿血清中总血红素水平(TBi L)变化,比较两组ABO溶血病治疗效果,统计治疗期间患儿不良事件发生,评估患儿家属对临床护理满意度。结果观察组较对照组住院、光疗、黄疸消失用时少(P<0.05);护理3d后观察组TBi L水平降低明显优于对照组(P<0.05);观察组患者满意度为95.3%,对照组为84.2%,组间比较观察组满意度高(P<0.05)。结论新生儿溶血者在以丙种球蛋白、间断光疗治疗期间给予护理,患儿TBi L水平明显降低,黄疸症状改善良好,患儿恢复快。
Objective To observe the clinical effect of nursing interventions in the treatment of ABO hemolytic diseases of the newborns after the intravenous injection of gamma globulin and intermittent phototherapy. Methods Eighty-one newborns with ABO hemolytic diseases treated from January 2013 to October 2017 in our hospital were selected. The subjects were randomly divided into control group（38 cases） and observation group（43 cases）. After the intravenous injection of gamma globulin and intermittent phototherapy, the control group adopted the conventional nursing care; the observation group adopted the nursing interventions. The serum TBi L contents, clinical effect, adverse event rate and clinical satisfaction were evaluated. Results The hospitalization time, phototherapy treatment time and disappearance time of jaundice for observation group were shorter than control group（P 0.05）;after 3 d of interventions, the TBi L contents for observation group were lower than control group（P 0.05）;the clinical satisfaction for observation group（95.3%） was significantly higher than control group（84.2%）（P 0.05）. Conclusion After the intravenous injection of gamma globulin and intermittent phototherapy, the nursing interventions can greatly reduce the TBi L contents, improve the clinical symptoms of jaundice and promote their fast recovery.
作者
彭冬梅
PENG Dongmei(Department of Neonatology, Luhe County People＇s Hospital, Guangdong Province, Luhe 516700, China)
出处
《中国医药科学》
2018年第8期146-148,共3页
China Medicine And Pharmacy
关键词
间断光疗
溶血
护理
新生儿
丙种球蛋白
Intermittent phototherapy
Hemolytic
Nursing
Newborns
Gamma globulin
