中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
30期
3648-3650
,共3页
护理%高胆红素血症,新生儿%全自动同步换血%外周动静脉
護理%高膽紅素血癥,新生兒%全自動同步換血%外週動靜脈
호리%고담홍소혈증,신생인%전자동동보환혈%외주동정맥
Nursing%Hyperbilirubinemia,newborn%Automatic synchronous exchange transfusion%Peripheral arteries and veins
目的 探讨外周动静脉全自动同步换血治疗新生儿重症高胆红素血症的临床护理方法.方法 选择2009年1月至2011年1月32例重症高胆红素血症患儿为研究对象.所有患儿均采用外周动静脉全自动同步换血方法,由两名专业护士配合完成,1名护士进行动脉处理,1名进行静脉处理,血袋中剩余约30 ml血量时停止排血,至剩余血量输完,停止输血,换血整个过程控制在3h以内.结果 治疗后患者总胆红素[(312.2±13.2)μmol/L比(521.3±14.2)μmol/L]、间接胆红素[(263.6±12.3) μmol/L比(466.5±13.8)μmol/L]、直接胆红素[(12.1±8.4)μmol/L比(44.2±7.0) μmoL/L]含量明显低于治疗前,差异有统计学意义(t值分别为3.32,4.28,4.06;P ＜0.05).患者治疗前后生命体征指标以及血清电解质指标比较差异无统计学意义(P＞0.05).结论 外周动静脉换血治疗新生儿重症高胆红素血症具有较好的临床效果,护理时应注意换血前、中、后的系统性护理.
目的 探討外週動靜脈全自動同步換血治療新生兒重癥高膽紅素血癥的臨床護理方法.方法 選擇2009年1月至2011年1月32例重癥高膽紅素血癥患兒為研究對象.所有患兒均採用外週動靜脈全自動同步換血方法,由兩名專業護士配閤完成,1名護士進行動脈處理,1名進行靜脈處理,血袋中剩餘約30 ml血量時停止排血,至剩餘血量輸完,停止輸血,換血整箇過程控製在3h以內.結果 治療後患者總膽紅素[(312.2±13.2)μmol/L比(521.3±14.2)μmol/L]、間接膽紅素[(263.6±12.3) μmol/L比(466.5±13.8)μmol/L]、直接膽紅素[(12.1±8.4)μmol/L比(44.2±7.0) μmoL/L]含量明顯低于治療前,差異有統計學意義(t值分彆為3.32,4.28,4.06;P ＜0.05).患者治療前後生命體徵指標以及血清電解質指標比較差異無統計學意義(P＞0.05).結論 外週動靜脈換血治療新生兒重癥高膽紅素血癥具有較好的臨床效果,護理時應註意換血前、中、後的繫統性護理.
목적 탐토외주동정맥전자동동보환혈치료신생인중증고담홍소혈증적림상호리방법.방법 선택2009년1월지2011년1월32례중증고담홍소혈증환인위연구대상.소유환인균채용외주동정맥전자동동보환혈방법,유량명전업호사배합완성,1명호사진행동맥처리,1명진행정맥처리,혈대중잉여약30 ml혈량시정지배혈,지잉여혈량수완,정지수혈,환혈정개과정공제재3h이내.결과 치료후환자총담홍소[(312.2±13.2)μmol/L비(521.3±14.2)μmol/L]、간접담홍소[(263.6±12.3) μmol/L비(466.5±13.8)μmol/L]、직접담홍소[(12.1±8.4)μmol/L비(44.2±7.0) μmoL/L]함량명현저우치료전,차이유통계학의의(t치분별위3.32,4.28,4.06;P ＜0.05).환자치료전후생명체정지표이급혈청전해질지표비교차이무통계학의의(P＞0.05).결론 외주동정맥환혈치료신생인중증고담홍소혈증구유교호적림상효과,호리시응주의환혈전、중、후적계통성호리.
Objective To investigate the nursing method of automatic synchronous exchange transfusion through peripheral arteries and veins to cure newborns with severe hyperbilirubinemia.Methods 32 newborns with severe hyperbilirubinemia from January 2009 to January 2011 were investigated.All newborns were treated with the method of automatic synchronous exchange transfusion through peripheral arteries by two professional nurses,one to transfuse through arteries and one through veins.Blood ejection was stopped when 30 ml was left in the blood bag,and blood transfusion was stopped when the blood was used out.And the whole process was controlled within 3 hours.Results Patients' total bilirubin was (312.2 ± 13.2) μmol/L after the treatment,lower than (521.3 ± 14.2) μmol/L before the treatment,indirect bilirubin was (263.6 ± 12.3) μmol/L after the treatment,lower than (466.5 ± 13.8) μmol/L before the treatment,and direct bilirubin was (12.1 ±8.4) μmol/L after the treatment,lower than (44.2 ± 7.0) μmol/L before the treatment.All differences were statistically significant (t ＝3.32,4.28,4.06,respectively; P ＜ 0.05).And patients' vital signs and serum electrolytes indictor were not statistically different before and after the treatment (P ＞ 0.05).Conclusions The method of automatic synchronous exchange transfusion through peripheral arteries and veins has preferable clinical effect,and systematical nursing before,during and after exchange transfusion should be paid more attention to.
