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目的探讨抚触护理干预对新生儿神经行为能力与胆红素的影响。方法选择2016年1月-2017年1月深圳市罗湖区妇幼保健院出生的新生儿570例为研究对象,以随机数字表法将其分为研究组与对照组各285例。对照组采取常规新生儿护理干预,研究组在此基础上给予抚触护理干预。观察两组新生儿42d时神经行为能力与高胆红素血症的发生率。结果研究组新生儿42d时原始反射、主动肌张力、被动肌张力、行为能力与一般反应5项神经行为能力评分均高于对照组,差异有统计学意义(P<0.05)。研究组高胆红素血症的发生率为1.40%,低于对照组的4.21%,差异有统计学意义(P<0.05)。结论抚触护理干预可以有效提高新生儿的神经行为能力,降低高胆红素血症的发生率,保证成长发育质量。
Objective To explore the effect of nursing intervention on neurobehavioral ability and bilirubin in neonates. Methods From January 2016 to January 2017, 570 newborns born in Luohu District Maternal and Child Health Care Hospital of Shenzhen were enrolled in this study. The subjects were divided into study group and control group with 285 cases in random number table. The control group to take regular neonatal care intervention, the study group on this basis to give care nursing intervention. The incidence of neurobehavioral ability and hyperbilirubinemia were observed 42 days after birth in both groups. Results On the 42nd day of neonatal study, the scores of the primary reflex, active muscle tone, passive muscle tension, behavioral abilities and general responses were all higher than those of the control group (P <0.05). The incidence of hyperbilirubinemia in the study group was 1.40%, which was lower than that in the control group (4.21%), the difference was statistically significant (P <0.05). Conclusion Nursing intervention can effectively improve neonatal neurobehavioral capacity, reduce the incidence of hyperbilirubinemia, and ensure the quality of growth and development.