两种干预对新生儿臀炎护理效果的研究

发布时间：2018-08-06 12:52

【摘要】：目的：本研究通过应用复方黄柏液臀部湿敷法与维生素AD涂臀联合辐射台暴露法，对新生儿臀炎进行护理，比较其效果，评估不同干预方式对缩小臀炎面积及减轻臀炎严重程度的效果，探索治疗与护理新生儿臀炎的新方法。方法：选取2013年2月至2013年12月入住吉林大学第一医院新生儿科，诊断为新生儿臀炎的患儿，将符合纳入标准的80例臀炎患儿，随机分成两组，即复方黄柏液臀部湿敷组（研究组）和维生素AD联合辐射台臀部暴露组（对照组），每组40例，观察和比较两种护理干预对新生儿臀炎的护理效果。采用SPSS18.0软件对实验数据进行统计学分析，统计结果以P＜0.05为差异有统计学意义。结果： 1.对两组患儿的年龄、体重和性别进行比较，P＞0.05，差异无统计学意义。 2.对两组患儿实施干预前的皮损严重程度进行比较，P＞0.05，差异无统计学意义。 3.80例患儿干预后的总体治愈率为67.5%（54/80）。复方黄柏液组患儿，干预后的治愈率为82.5%（33/40）；维生素AD组患儿，，干预后的治愈率为52.5%（21/40）。通过卡方检验，两种干预后对新生儿臀炎皮损严重程度的评价比较，P＜0.05，差异有显著性意义。 4.两组患儿干预后皮损面积评分的比较，复方黄柏液组评分为0.20±0.07分，维生素AD组评分为0.93±0.20分，t检验结果P＜0.05，差异有显著性意义。结论：复方黄柏液湿敷臀部法对新生儿臀炎的护理效果显著，明显减轻了皮损严重程度和皮损面积，并且对重度、极重度臀炎效果明显，是新生儿臀炎一种有效的护理干预方法。
[Abstract]:Objective: in this study, the nursing care of neonate gluteal inflammation was carried out by using the method of compound yellow cypress liquid wet application of buttocks and vitamin A D coating on the hip combined with radiation table exposure, and compared its effect. To evaluate the effect of different intervention methods on reducing the area of gluteal inflammation and reducing the severity of gluteal inflammation, and to explore a new method for treating and nursing neonatal gluteal inflammation. Methods: from February 2013 to December 2013, 80 children with gluteal inflammation were randomly divided into two groups. There were 40 cases in each group. The nursing effects of two kinds of nursing interventions on neonatal gluteitis were observed and compared. The experimental data were analyzed by SPSS18.0 software, and the statistical results were statistically significant (P < 0. 05). Results: 1. There was no significant difference in age, weight and sex between the two groups (P > 0.05). There was no significant difference in the severity of skin lesions between the two groups before intervention (P > 0.05). The overall cure rate of 3.80 cases was 67.5% (54 / 80). The cure rate after intervention was 82.5% (33 / 40) and 52.5% (21 / 40) in vitamin A D group. The chi-square test showed that there was a significant difference between the two interventions in evaluating the severity of gluteal inflammation in neonates (P < 0.05). After intervention, the score of skin lesion area in the two groups was 0.20 卤0.07 in the compound Phellodendron officinalis group and 0.93 卤0.20 in the vitamin A D group (P < 0.05). Conclusion: the nursing effect of compound Huangbai liquid wet compress on the buttocks of newborns with gluteal inflammation is remarkable, the severity of skin damage and the area of skin damage are obviously reduced, and the effect on severe and extremely severe gluteitis is obvious. It is an effective nursing intervention method for neonatal gluteal inflammation.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R473.72

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