CAJ | 학술논문

目的：探讨改良护眼法在新生儿蓝光治疗中保护新生儿眼部的效果。方法选择新生儿病理性黄疸儿120例，随机分为改良组60例与对照组60例，改良组采用自制眼罩加用医用纱布敷料包裹，再在紧贴双眼部一面两侧各滴1～2滴妥布霉素眼药水湿润后遮盖双眼部，对照组采用自制眼罩直接遮盖眼部，两组均采用3M 胶布固定。对比2组患儿光疗24 h后眼部皮肤红肿、皮疹和眼睛分泌物的发生率。结果改良组的发生率明显低于对照组，2组差异具有统计学意义（p＜0.05）。结论采用改良护眼法可有效保护眼睛，避免局部皮肤出现红肿、皮疹及眼部分泌物，提高患儿舒适感，推进优质护理服务。
목적：탐토개량호안법재신생인람광치료중보호신생인안부적효과。방법선택신생인병이성황달인120례，수궤분위개량조60례여대조조60례，개량조채용자제안조가용의용사포부료포과，재재긴첩쌍안부일면량측각적1～2적타포매소안약수습윤후차개쌍안부，대조조채용자제안조직접차개안부，량조균채용3M 효포고정。대비2조환인광료24 h후안부피부홍종、피진화안정분비물적발생솔。결과개량조적발생솔명현저우대조조，2조차이구유통계학의의（p＜0.05）。결론채용개량호안법가유효보호안정，피면국부피부출현홍종、피진급안부분비물，제고환인서괄감，추진우질호리복무。
Objective To explore the effect of the application of the modified eye shield in neonatal phototheraphy . Methods 120 neonates with jaundice were chosen and randomly divided into two groups (60 each).Control group was only applied to normal eye shield, while the improved group used the modified eye shield, wrapping with gauze, and then mositen the eyes with 1~2 Tobramycin eye drops on each side.Both groups were fixed with 3M tapes.After a 24 -hour photothera-py, the incidence rate of reseola, skin rash and eye secretions were compared.Results The improved group has better pro-tective effect and the difference between these two groups is of great statiscally significance(p<0.05).Conclusion The ap-plication of modified eye shield could effectively protect their eyes from neonatal roseola, skin rash and eye secretions, im-prove the feeling of comfort and promote high quality nursing service .