抚触对高胆红素血症新生儿黄疸指数及行为神经发育的影响.doc

抚触对高胆红素血症新生儿黄疸指数及行为神经发育的影响 【摘要】目的 探讨抚触对高胆红素血症新生儿黄疸指数及行为神经的干预作用。方法 将93例高胆红素血症新生儿随机分为A、B、C组各31例。A组采用常规治疗护理；B组在常规治疗护理基础上予抚触干预，2次/d，15 min/次，连续5 d；C组在B组基础上每日增加抚触1次。测量三组干预5 d内黄疸指数及行为神经发育情况。结果 干预第2 5天B、C组黄疸指数显著低于A组(均P0.01)，第4、5天C组黄疸指数显著低于B组(均P0.01)；干预第5天B、C组新生儿行为神经评分显著高于A组(均P0.01)，且C组显著高于B组(P0.05)。结论 抚触可降低高胆红素血症新生儿黄疸指数，促进其行为神经发育。 【关键词】 婴儿 新生 高胆红素血症 抚触 黄疸 行为神经 Caresses Touches Function to Jaundice Index and Behavior Nerve Growth of Newborns with Hyperbilirubinemia∥WEI Linrsquo;an, HE Qun, LI Li, et al∥(Department of Pediatrics, Ruikang Hospital Affiliated to Guangxi College of Traditional Chinese Medicine, Nanning 530011, China) Abstract: Objective To discuss caresses touches intervention to jaundice index and behavior nerve of newborns with hyperbilirubinemia. Methods Ninetythree newborns with hyperbilirubinemia were randomly divided into groups A, B and C (each group having 31 newborns). The newborns in group A received routine treatments and nursing care only. The newborns were subjected to caresses touches twice (group B) or three times (group C) (15 min/time) every day for 5 days besides routine treatments and nursing care. Changes in jaundice index within 5 days were measured and about behavior nerve growth between and after intervention assessed by using the NBNA grades.Results Jaundice index in groups B and C was significantly lower than in group A on the 2nd to 5th day after caresses touches. On the 4th to 5th day, jaundice index in group C was significantly lower than in group B (all P0.01). On the 5th day after caresses touches, NBNA grades in groups B and C were higher than in group A obviously (all P0.01). Conclusion Caresses touches can reduce jaundice index and promote the behavior nerve growth of the newborns with hyperbilirubinemia. Key words: infant,newborn; hyperbilirubinemia; caresses touches; jaundice; behavior nerve 新生儿高胆红素血症因未结合胆红素对中枢神经系统有毒性，可引起行为神经异常，不及时处理可造成永久后遗症［1］。抚触是一种经科学指导的有技巧的触摸，国内外诸多研究表明，抚触可促进新生儿生长发育及身心健康，提高免疫力，对生理性黄疸有影响作用，但有关其对高胆红素血症新生儿