CAJ | 학술논문

目的：探讨蓝光照射联合早期抚触排便干预对新生儿黄疸的临床疗效。方法将116例新生儿黄疸患儿按随机数字表法分为2组：对照组58例在常规治疗基础上采用蓝光照射治疗，观察组58例在常规治疗基础上采用蓝光照射联合早期抚触排便干预治疗。比较2组患儿治疗前后的黄疸指数、睡眠时间及初次排便时间、排便次数和胎粪转黄时间等。结果2组治疗后黄疸指数均较治疗前明显下降（P＜0．05），观察组下降程度较对照组更为显著（P＜0．05）；观察组睡眠时间、排便次数较对照组显著增加（P＜0．05），初次排便时间及胎便转黄时间较对照组显著缩短（P＜0．05）。结论在蓝光照射治疗的基础上配合抚触等早期排便干预措施治疗新生儿黄疸可有效降低新生儿黄疸指数，改善睡眠，疗效确切。
목적：탐토람광조사연합조기무촉배편간예대신생인황달적림상료효。방법장116례신생인황달환인안수궤수자표법분위2조：대조조58례재상규치료기출상채용람광조사치료，관찰조58례재상규치료기출상채용람광조사연합조기무촉배편간예치료。비교2조환인치료전후적황달지수、수면시간급초차배편시간、배편차수화태분전황시간등。결과2조치료후황달지수균교치료전명현하강（P＜0．05），관찰조하강정도교대조조경위현저（P＜0．05）；관찰조수면시간、배편차수교대조조현저증가（P＜0．05），초차배편시간급태편전황시간교대조조현저축단（P＜0．05）。결론재람광조사치료적기출상배합무촉등조기배편간예조시치료신생인황달가유효강저신생인황달지수，개선수면，료효학절。
Objective To observe the clinical effect of blue light exposure combined with early touching defecation intervention on neonatal j aundice.Methods On the basis of conventional therapy,1 1 6 cases of neonatal j aundice were randomly treated with blue light exposure alone(con-trol group,n=58)or in combination with early touching defecation intervention(observation group,n=58).Jaundice index,sleep duration,time to first defecation,defecation frequency and time to meconium turning yellow were observed before and after treatment.Results The jaundice index was significantly decreased after treatment in both groups,and the decrease in observation group was more obvious than that in control group(P<0.05).In addition,the sleep duration and defecation frequency were increased and the time to first defecation and time to meconium turning yellow were shortened in observation group,compared with control group(P<0.05).Conclusion Blue light exposure combined with early touching defecation intervention can effectively reduce j aundice index and improve sleep newborns with j aundice.