強(qiáng)化風(fēng)險(xiǎn)護(hù)理對(duì)新生兒黃疸藍(lán)光照射的療效觀察及安全性分析

李玉清 徐東偉

[摘要] 目的 分析強(qiáng)化風(fēng)險(xiǎn)護(hù)理對(duì)新生兒黃疸藍(lán)光照射的療效觀察及安全性。 方法 方便選取 2017年4月—2018年4月期間該院收治的88例黃疸患兒為研究對(duì)象，以隨機(jī)數(shù)字表法分為研究組和對(duì)照組，每組44例患兒。兩組患兒均接受藍(lán)光照射治療，在此基礎(chǔ)上對(duì)照組患兒實(shí)施常規(guī)護(hù)理，研究組患兒實(shí)施強(qiáng)化風(fēng)險(xiǎn)護(hù)理，對(duì)比兩組患兒的療效和安全性。結(jié)果 兩組患兒臨床療效對(duì)比，研究組總有效率95.45%顯著優(yōu)于對(duì)照組總有效率88.64%，差異有統(tǒng)計(jì)學(xué)意義（χ2=6.271，P=0.004）。兩組患兒風(fēng)險(xiǎn)事件發(fā)生率對(duì)比，研究組的嘔吐窒息（χ2=4.568，P=0.002）、反復(fù)穿刺（χ2=4.172，P=0.012）、皮膚損傷（χ2=5.029，P=0.029）、針頭脫落（χ2=6.005，P=0.035）以及眼罩脫落（χ2=4.282，P=0.008）和感染（χ2=4.008，P=0.016）等風(fēng)險(xiǎn)事件發(fā)生率均低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 結(jié)論 對(duì)黃疸患兒藍(lán)光照射治療的同時(shí)實(shí)施強(qiáng)化風(fēng)險(xiǎn)護(hù)理措施，能夠提升療效，降低風(fēng)險(xiǎn)事件發(fā)生概率，促進(jìn)患兒的康復(fù)和預(yù)后。

[關(guān)鍵詞] 強(qiáng)化風(fēng)險(xiǎn)護(hù)理;新生兒黃疸;藍(lán)光照射;療效;安全性

[中圖分類號(hào)] R473? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1674-0742（2019）06（b）-0187-03

[Abstract] Objective To analyze the efficacy and safety of intensive care for neonatal jaundice blue light. Methods From April 2017 to April 2018， 88 children with jaundice admitted to our hospital were convenient selected and enrolled in the study. They were divided into study group and control group by random number table， with 44 children in each group. Both groups were treated with blue light irradiation. On this basis， the control group received routine nursing care， and the study group performed intensive risk care to compare the efficacy and safety of the two groups. Results The clinical efficacy of the two groups was compared. The total effective rate of the study group was 95.45%， which was significantly better than the total effective rate of the control group （88.64%）. The difference was statistically significant （χ2=6.271，P=0.004）. The incidence of risk events in the two groups was compared. The study group had vomiting asphyxia （χ2=4.568，P=0.002）， repeated puncture （χ2=4.172，P=0.012）， skin lesions （χ2=5.029，P=0.029）， needle shedding risk incidence （χ2=6.005，P=0.035） and ocular mask shedding （χ2=4.282，P=0.008） and infection （χ2=4.008，P=0.016） were lower than those of the control group， and the difference was statistically significant （P<0.05）. Conclusion The implementation of intensive risk nursing measures for blue light irradiation in children with jaundice can improve the efficacy， reduce the probability of occurrence of risk events， and promote the rehabilitation and prognosis of children.

[Key words] Intensive risk care; Neonatal jaundice; Blue light irradiation; Efficacy; Safety

黃疸由于膽紅素代謝障礙引發(fā)，主要表現(xiàn)為血清內(nèi)膽紅素濃度升高，是新生兒時(shí)期常見(jiàn)的疾病，主要癥狀為鞏膜、黏膜、皮膚等組織黃染[1]。多數(shù)患兒的黃疸癥狀可在1周左右自然消退，但也有少數(shù)患兒病情會(huì)持續(xù)發(fā)展，導(dǎo)致病情不斷加重，威脅患兒健康。由此應(yīng)該及時(shí)控制病情，以免發(fā)展為病理性黃疸，對(duì)新生兒的健康造成威脅[2]。藍(lán)光照射是新生兒黃疸的常規(guī)治療方式，不僅療效滿意，且操作簡(jiǎn)單。藍(lán)光照射治療以及護(hù)理過(guò)程中也存在著一定的風(fēng)險(xiǎn)因素，為提高臨床護(hù)理質(zhì)量，減少風(fēng)險(xiǎn)事件的發(fā)生機(jī)率，該文方便選取2017年4月—2018年4月期間該院收治的88例黃疸患兒展開(kāi)強(qiáng)化風(fēng)險(xiǎn)護(hù)理對(duì)新生兒黃疸藍(lán)光照射療效及安全性的分析與探究，現(xiàn)將結(jié)果報(bào)道如下。