抚触配合蓝光照射对高胆红素血症新生儿血清总胆红素、生长发育的影响

彭丽媛 周文娟

[摘要]目的 探究抚触配合蓝光照射对高胆红素血症新生儿血清总胆红素水平、生長发育的影响。方法 选择2016年3月～2017年3月我院新生儿科收治的70例高胆红素血症患儿作为研究对象，按照随机分配原则将其分为对照组和观察组，每组各35例。两组均给予蓝光照射和新生儿常规护理，观察组在蓝光照射和新生儿常规护理基础上联合抚触，比较两组新生儿治疗前和治疗后1、3 d的血清总胆红素水平，测定两组新生儿治疗前和治疗后体重增长量、奶摄入量、大便次数、睡眠时间来评价新生儿的生长发育情况。结果 两组新生儿治疗前血清总胆红素水平比较差异无统计学意义（P>0.05），治疗后均降低，且观察组新生儿治疗后1、3 d的血清总胆红素水平显著低于对照组，差异有统计学意义（P<0.05）；两组新生儿治疗前体重增长量、奶摄入量、大便次数和睡眠时间比较差异无统计学意义（P>0.05），观察组新生儿治疗后体重增长量、奶摄入量、大便次数和睡眠时间显著优于对照组，差异有统计学意义（P<0.05）。结论 抚触配合蓝光照射有助于降低高胆红素血症新生儿血清总胆红素水平，通过改善新生儿体重增长、吸奶、大便次数和睡眠时间，促进新生儿生长发育。

[关键词]抚触治疗；蓝光照射；高胆红素血症；血清总胆红素；生长发育

[中图分类号] R473.72 [文献标识码] A [文章编号] 1674-4721（2018）5（b）-0088-04

Influence of touching combined with blue ray on serum total bilirubin and growing development in neonatal hyperbilirubinemia

PENG Li-yuan ZHOU Wen-juan

Department of Neonatal，Ji′an Maternal and Child Health-Care Hospital，Jiangxi Province，Ji′an 353000，China

[Abstract]Objective To discuss the effect of touch and blue light irradiation on serum total bilirubin level and growth and development of hyperbilirubinemia neonates.Methods 70 cases of neonatal hyperbilirubinemia in our hospital from March 2016 to March 2017 were randomly divided into observation group and control group，35 cases in each group.All of them were given blue ray and routine care，while newborns in observation group were given touching care additionally.The total serum bilirubin was detected before and after treatment.Daily weight，daily intake of milk，daily stool frequency and daily sleep duration were used to evaluate the growing development.Results Total serum bilirubin between two groups had no difference before treatment （P>0.05），and total serum bilirubin in observation group were lower than that in control group after 1 and 3 days treatment（P<0.05）.Daily weight，daily intake of milk，daily stool frequency and daily sleep duration had no difference before treatment （P<0.05），and all of them in observation were better than those in control group after treatment，the differences were statistically significant （P<0.05）.Conclusion Touching combined with blue ray is be conducive to decreasing total serum bilirubin，and promoting the growing development via improving weight growth，milk intake，stool frequency and sleep time.

[Key words]Touching；Blue ray；Hyperbilirubinemia；Serum bilirubin；Growing development

研究显示，我国新生儿高胆红血素症发病率较高，占住院新生儿30%～50%[1]。陈昌辉等[2]的研究结果表明有66.7%的新生儿在出生后早期出现黄疸，足月儿和早产儿发生严重高胆红素血症的风险分别为10.5%和25.3%。高胆红素血症对新生儿危害非常大，轻、中度高胆红素血症会对损害新生儿神经功能，致患儿精神、神经等发育迟缓和异常，重度高胆素血症则会导致胆红素脑病（核黄疸），导致新生儿智力落后、视觉异常、听力障碍等后遗症，或者导致患儿急性期死亡，严重威胁新生儿的健康和生命[3-4]。蓝……