CAJ | 학술논문

目的研究早期干预对新生儿黄疸及体重的影响,防止新生儿高胆红素血症的发生.方法将健康足月新生儿320例随机分为干预组和对照组,干预组新生儿给予早期干预(早期喂养,母乳充足前按需添加配方奶.进行游泳和抚触),对照组仅给予新生儿常规护理.记录两组新生儿胎便初排时间,胎便转黄时间.每口测量新生儿体重,经皮测胆红素值.结果干预组经皮胆红素值明显低于对照组,差异有统计学意义(P<0.01),干预组新生儿第5天体重明显高于对照组,两组比较差异有统计学意义(P<0.01).结论示早期护理干预能有效降低胆红素值,减少新生儿高胆红素血症的发生率,还可减少新生儿体重下降,增加出院体重.
목적 연구조기간예대신생인황달급체중적영향,방지신생인고담홍소혈증적발생.방법 장건강족월신생인320례수궤분위간예조화대조조,간예조신생인급여조기간예(조기위양,모유충족전안수첨가배방내.진행유영화무촉),대조조부급여신생인상규호리.기록량조신생인태편초배시간,태편전황시간.매구측량신생인체중,경피측담홍소치.결과 간예조경피담홍소치명현저우대조조,차이유통계학의의(P<0.01),간예조신생인제5천체중명현고우대조조,량조비교차이유통계학의의(P<0.01).결론 시조기호리간예능유효강저담홍소치,감소신생인고담홍소혈증적발생솔,환가감소신생인체중하강,증가출원체중.
Objective To study the effects of early intervention on neonatal jaundice and body weight, thereby preventing the occurrence of hyperbilirubinemia in newborns. Methods 320 healthy newborns were randomly divided into the two groups of the intervention group and the control group, with 160 cases in each group. All neonates of the intervention group were given the early intervention, including early breast-feeding, formula milk before the adequate breast-feeding, swimming and massaging. There was no nursing intervention for the control group, only the general nursing. The first defecation time, the first yellow defecation time, body weight in everyday, bilirubin value per cutem were measured and recorded. Results The bilirnbin value of the intervention group was much lower than that of the control group. The difference had statistical meaning (P < 0. 01). The body weight of newborns in the intervention group was much higher than that of the control group 5 days after born. There was statistical difference between the two groups (P < 0. 01). Conclusions Early nursing intervention can mitigate the bilirubin value effectively, reduce the incidence rate of hyperbilirnbinemia in newborns, reduce the decrease of body weight in newborns, and raise the body weight on discharge.