北京28登录网址

蓝光治疗新生儿高胆红素血症顺从性观察

FABUZHE: FABUSHIJIAN:2016-09-13 LIULAN11564CI

XINSHENGERGAODANHONGSUXUEZHENGSHIXINSHENGERQIDECHANGJIANJIBING,ZHUYAOSHIXUEYEZHONGDANHONGSUNONGDUZENGGAOYIZHIYINQIPIFU、NIANMOHUANGRAN。YOUYUJIANJIEDANHONGSUJUYOUQINZHIXING,YITOUGUOXUENAOPINGZHANG,YINQIHEHUANGDAN,CHUXIANYIXILIESHENJINGXITONGSUNHAI。YINCIJIANGDIDANHONGSUSHIZHILIAOGAODANHONGSUXUEZHENGDEGUANJIAN。ZHILIAOXINSHENGERGAODANHONGSUXUEZHENGYIBANCAIYONGLANGUANGJIYAOWUZHILIAO,ERLANGUANGZHILIAOSHIZUIJINGJI、ANQUAN、YOUXIAODEFANGFA。ZAILINCHUANGSHANGHUANERJIAZHANGWANGWANGBUYIJIESHOU,SHUNCONGXINGCHA,JIZHILIAODAILAIYIDINGKUNNAN。WOMENGUANCHALE60LIGAODANHONGSUXUEZHENGHUANER,FAXIANZAILANGUANGZHILIAOZHONGHUSHIDEJIANKANGJIAOYUJIJIAZHANGDEMIQIEPEIHEZHIJIEYINGXIANGZHILIAOXIAOGUO。XIANBAOGAORUXIA:

北京28登录网址 1、LINCHUANGZILIAO

SHOUJI2002NIAN4YUE-12YUE60LIQUEZHENWEIGAODANHONGSUXUEZHENGXULANGUANGZHAOSHEDEHUANER,QIZHONGNAN35LI,NV25LI,RILING2-20d,TIZHONG2.5-4.5kg。

北京28登录网址 ZHILIAOFANGFA:LANGUANGZHAOSHEJIYINZHIHUANGJINGDIAN。

LANGUANGXIANGWEININGBODAIWEIYILIAOQIXIEYOUXIANGONGSISHENGCHANDESHUANGMIANLANGUANGXIANG。

2、JIEGUO

GUANGZHAOSHEYIBANYAOQIU24h,ERSHIJIZHAOSHESHIJIANWANGWANGDABUDAO,ZHEIYUHUANERJIAZHANGSHUNCONGXINGYOUHENDAGUANXI,DUIYUHOUYOUZHIJIEYINGXIANG,60LIGAODANHONGSUXUEZHENGXINGLANGUANGZHILIAOSHUNCONGXINGYUZHAOSHESHIJIAN、ZHUYUANTIANSHUDEGUANXIJIANBIAO1。

BIAO1 SHUNCONGXINGYUZHAOSHESHIJIAN、ZHUYUANTIANSHUDEGUANXI。

/ 列数

PINGJUNZHAOSHESHIJIAN(h)


北京28登录网址 PINGJUNZHUYUANTIANSHU(d)


顺从 35
23.8
3.9
非顺从
25
10
7
合计
60
16.9
5.4

3讨论


北京28登录网址 3.1、LANGUANGZHILIAOZHONGJIAQIANGHULIJIANKANGJIAOYUDELIDU LANGUANGZHAOSHESHIMUQIANZHILIAOXINSHENGERGAODANHONGSUXUEZHENGDEZHUYAOFANGFA,QIYUANLIWEI:YIDENGGUANGZHAOSHEPIFU,JIANGZHIRONGXINGWEIJIEHEDANHONGSU,GAIBIANGOUZAO,FENJIECHENGWEIDUINAOWUDUXINGDECHANWU—GUANGXUEDANHONGSU,SHIYIRONGYUSHUI,KEHENKUAIDEYOUDANZHIHUONIAOZHONGPAICHU,BINGZENGJIAGANDUIDANHONGSUDEPAIXIE。YINXINSHENGERSHIDUSHENGZINVZHONGTESHUDEQUNTI,GUANXINHUANERJIBINGDERENJIAODUO,HUANERJIAZHANGDUIGAODANHONGSUXUEZHENGQUEFAZUGOURENSHI,CUNZAIZHONGZHONGDANXIN,TEBIESHIKANDAOHUSHIBAHUANERLUOTIFANGRULANGUANGXIANGZHONG,XINLIGANDAOHAIPA、KONGJU,YOUDETINGDAOHUANERDEKUSHENGLIJICONGXIANGZHONGBAOCHU,BUYUANZAIFANGRU,YINGXIANGLEZHILIAOXIAOGUO,YICHANSHENGHUHUANMAODUN。CONGGUANCHADE60LIGAODANHONGSUXUEZHENGHUANERZHONGKEJIANYOU25LIJIAZHANGSHUNCONGXINGCHA,BIAOXIANBUNENGPEIHE,YINGXIANGLEZHILIAOXIAOGUO,YANZHANGLEZHUYUANTIANSHU。FENXIYUANYINZHUYAOSHIHUANERJIAZHANGDUIJIBINGZHISHIBULEJIE,SUOYIHUSHIDEJIANKANGJIAOYUYOUWEIZHONGYAO,ZAIZHAOSHEQIANYINGGENJUHUANERJIAZHANGDEWENHUACHENGDUJIANGJIEJIBINGZHISHIJIGUANGLIAODEZUOYONG,BINGQINZIJINXINGSHIJIAO,DAXIAOJIAZHANGDEGULV,ZHUDONGYUHUANERJIAZHANGGOUTONG。BIMIANHUHUANMAODUNDEFASHENG。

北京28登录网址 3.2、XUANZESHIYIDERUXIANGSHIJIAN  HUANERFANGRULANGUANGXIANG,YOUYUGAIBIANLEYUANLAISHUSHIDEHUANJING,QUEFAMUQINDEAIFU,BINGPEIDAIYANZHAO,CHANGYINQIHUANERKUNAO,YIZHISHUYECHUFASHENGWAISHEN,JIAZHANGJIZAO,WEIJIANSHAOHUANERKUNAO,SHIHUANERZAILANGUANGXIANGNEIZHAOSHESHIJIANYANZHANG,WOMENZAILINCHUANGSHIJIANZHONGZONGJIEDEJINGYANSHI:RUXIANGQIANJIANGXIANGWENYUREDIAOZHIZAI30-32℃,SHIDU50%,JIANGHUANERWEIBAO,GENGHUANHAONIAOBU,RANHOUJIANLIJINGMAITONGLU,XIAOHURUBENBABITUONA5-8mg/kg,YINBENBABITUONAJISHIGANMEIYOUDAOJIYOUNENGQIZHENJINGZUOYONG,RUYAOHOUJIKEFANGRUXIANGZHONG,HUANERKEANJINGRUSHUI,ZHEIYANGKEYIYANZHANGZHAOSHESHIJIAN,JIAZHANGYENENGDEXIUXI,JIANSHAOPILAO,BIMIANBULIANGQINGXUDEFASHENG。

3.3、LANGUANGZHAOSHEGUOCHENGZHONGDEZHUYISHIXIANG WEIBAOZHENGHUANERDEZHAOSHEXIAOGUO,RUXIANGQIANCHUWEIHUANERPEIDAIHEIYANZHAOJINIAOKU,BAOHUHAOYANJINGJIHUIYINBUWAI,YINGJIANGHUANERCHONGFENBAOLUZAILANGUANGZHAOSHEZHONG。ZHAOSHEGUOCHENGZHONG,HUSHIYINGZHUDONGDUOXUNSHI,GUANCHAHUANERDEFANYINGNENGLI、KUSHENGJIHUANGDANXIAOTUIQINGKUANG,ZHUYILANGUANGXIANGDEWEN、SHIDU,JISHIXIANGSHUICAONEIZHUSHUI,MEI2hCETIWENYICI,BINGZHIDAOJIAZHANGDAIMOJINGGUANCHAHUANERZAIXIANGZHONGDEQINGKUANG,BIMIANYANZHAOHENIAOBUYIWEI,ZHUZENGJIAWEISHUICISHU,YIBUCHONGBUXIANXINGSHISHUI。ZHAOSHEGUOCHENGZHONGKENENGCHUXIANZANSHIPIZHEN,FUXIEJILVSEXIBIAN,NIAOYANSEBIANHUANGDENG[2],JUNYINGXIANGHUANERJIAZHANGJIAODAI,YIMIANKONGHUANG,HUANERKUNAOBUZHISHI,BANGZHUCHAZHAOYUANYIN,YIXIAOCHUJIAZHANGBUAN,BIANYUZHUDONGPEIHEWANCHENGZHILIAO。GUANGLIAOQIJIANMEIRIJIANCEDANHONGSUSHUIPING。