CAJ | 학술논문

目的探讨抚触配合光疗对肛门直肠畸形患儿高胆红素血症的临床效果. 方法将我院2012年7月至2014年7月收治的肛门直肠畸形患儿高胆红素血症120例分成对照组和观察组各60例. 对照组患儿采用光疗方法进行治疗, 观察组患儿在对照组患儿治疗的基础上配合应用抚触护理, 比较两组患儿在治疗后第2、 4、 6天的黄疸指数、每天摄入奶量、大便次数、睡眠时间、体重与患儿哭闹次数. 结果在治疗后第2、 4、 6天, 观察组患儿的黄疸指数、哭闹时间均显著少于对照组 (P<0.05), 而每天摄入奶量、体重、大便次数、睡眠时间均显著多于对照组 (P<0.05). 结论针对肛门直肠畸形新生儿的血清胆红素水平, 在给予患儿光疗的同时进行抚触护理, 可以促使患儿摄入奶量逐渐增多、体重增长加快, 促进患儿神经系统的发育.
목적 탐토무촉배합광료대항문직장기형환인고담홍소혈증적림상효과. 방법 장아원2012년7월지2014년7월수치적항문직장기형환인고담홍소혈증120례분성대조조화관찰조각60례. 대조조환인채용광료방법진행치료, 관찰조환인재대조조환인치료적기출상배합응용무촉호리, 비교량조환인재치료후제2、 4、 6천적황달지수、 매천섭입내량、 대편차수、 수면시간、 체중여환인곡료차수. 결과 재치료후제2、 4、 6천, 관찰조환인적황달지수、 곡료시간균현저소우대조조 (P<0.05), 이매천섭입내량、 체중、 대편차수、 수면시간균현저다우대조조 (P<0.05). 결론 침대항문직장기형신생인적혈청담홍소수평, 재급여환인광료적동시진행무촉호리, 가이촉사환인섭입내량축점증다、 체중증장가쾌, 촉진환인신경계통적발육.
Objective To explore the clinical effect of touching care combined with phototherapy on hyperbilirubinemia of neonates with anorectal malformation. Methods 120 cases of anorectal malformation neonates with hyperbilirubinemia admitted to our hospital from July 2012 to July 2014 were selected and divided into two groups equally. The control group received phototherapy, while the observation group received touching care on the basis of phototherapy. 2, 4 and 6 days after therapy, the difference in jaundice index, daily intake of milk, stool frequency, sleep time, body weight and the number of crying between the two groups was analyzed. Results Two, four and six days after therapy, the jaundice index of the observation group was significantly lower than that of the control group (P<0.05), the crying time of the observation group was significantly less than that of the control gorup (P<0.05), and daily intake of milk, stool frequency, body weight and sleep time of observation group were significantly more than those of control group (P<0.05). Conclusions On the basis of phototherapy, touching care for those anorectal malformation neonates with hyperbilirubinemia can promote the increase of neonates' intake of milk and body weight, so as to promote the development of nervous system of neonates.