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目的:针对不同高胆红素血症的新生儿,制定家庭治疗及干预方案,指导家长对高胆红素血症新生儿的家庭治疗和干预措施,防止神经系统的损害。方法:选择河北医科大学第三医院出生发生高胆红素血症的新生儿,经皮黄疸指数测定在12～18 mg/dl的轻、中度黄疸患儿作为观察对象,共计147例。住院期间经过服药及蓝光治疗后,待黄疸指数有下降趋势时出院治疗,固定经皮黄疸测试仪为检测工具,定期监测黄疸指数,追踪黄疸消退情况,依据黄疸指数指导新生儿服药、喂养以及日光浴等干预措施,待巩膜、皮肤黄染完全消退,经皮胆红素值<5 mg/dl为标准。结果:高胆红素血症新生儿除1例在家服药治疗期间,黄疸加重转入儿科治疗5天痊愈外,其余新生儿黄疸完全消退,无1例并发症发生。结论:综合治疗配合家庭干预能加快高胆红素血症新生儿黄疸消退,并且有利于产妇的康复。
OBJECTIVE: To develop family therapy and intervention programs aimed at newborns with different hyperbilirubinemia, to guide parents in family therapy and interventions for neonates with hyperbilirubinemia and to prevent the nervous system from damaging. Methods: Newborns with hyperbilirubinemia were born at the Third Hospital of Hebei Medical University. Percutaneous jaundice index was used in 147 children with mild to moderate jaundice at 12 ~ 18 mg / dl. During hospitalization after taking medicine and blue light treatment, until the jaundice index declines trend of discharge treatment, fixed jaundice tester as a testing tool, regular monitoring of jaundice index, tracking jaundice subsided, according to the jaundice index neonatal medication, feeding and sunbathing And other interventions, until the sclera, skin yellow dye completely subsided, transcutaneous bilirubin value <5 mg / dl as the standard. Results: In addition to 1 case of hyperbilirubinemia during jaundice treatment, jaundice was transferred to pediatric treatment for 5 days cured, the rest of neonates jaundice completely subsided, no complications occurred. Conclusion: Comprehensive treatment combined with family intervention can accelerate the regression of jaundice in neonates with hyperbilirubinemia and is conducive to the recovery of pregnant women.