江南大学论文初稿1229.docVIP

成人教育毕业论文 论 文 题 目： 全程护理干预在预防新生儿高胆红素血症的应用价值全程护理干预在预防新生儿高胆红素血症的应用价值The whole application value of nursing intervention in the prevention of neonatal hyperbilirubinemia Wang Tiantian of the Jiawang peoples Hospital of Xuzhou City [Abstract] Objective: to analyze the clinical effect of the whole nursing intervention in neonatal hyperbilirubinemia. Methods: 400 cases of newborns with according to the number of hospitalized were randomly divided into observation group and control group with 200 cases in each group. The control group received routine nursing intervention of neonates, the intervention group was given nursing intervention, compared two groups of meconium drain and turn yellow time, body weight changes and percutaneous bilirubin detection. Results: born first days, the two groups was not statistically significant neonatal jaundice index difference Pgt; 0.05 , neonatal birth in third, 5, the observation group with jaundice index lower than that of the control group Plt; 0.05 ; observation group neonatal body mass was born after 7 days recovery was faster than that of control group Plt; 0.05 , and meconium drain and yellowing time was shorter than the control group Plt; 0.05 . Conclusion: the whole nursing intervention can significantly reduce neonatal jaundice index, shorten the time of meconium cold and turned yellow, and has certain clinical value in prevention hyperbilirubinemia of newborn. [keyword] newborn; hyperbilirubinemia; nursing intervention 新生儿高胆红素血症是新生儿时期常见病，病因复杂，可导致运动障碍、智力低下等后遗症，如不及时观察和治疗，可并发核黄疸危及生命[1]。近年来，新生儿高胆红素血症的发生率逐渐增加，随着医学模式的转变，以患者为中心的护理理念得到了众多医护人员的重视，本文采用全程护理干预对高胆红素血症患儿进行护理干预，探讨全程护理干预在预防新生儿高胆红素血症中的效果，现报道如下。 1 资料与方法 1.1 一般资料 将我院产科2013年1月-2014年4月分娩的400例新生儿作为观察对象，全部新生儿Apgar评分≥8分，且喂养方式为母乳喂养，无妊娠合并症和并发症等。根据产妇住院号，将新生儿随机分为观察组和对照组各200例，其中观察组男104例，女96例；胎龄36~40周，平均（39.5±0.5）周；剖宫产82例，顺产118例；出生体质量为2489g~3816g，平均（3156±125）g。对照组男106例，女94例；胎龄37~41周，平均（39.4±0.7）周；剖宫产85例，顺产115例；出生体质量为2491g~3805g，平均（3152±131）g，经比较，两组新生儿在性别、胎龄、出生体质量和生产方式等方面差异无统计学意义（P 0.0