朱晓洁

新生儿重症监护中心环境对早产儿的不良影响及其干预对策

朱晓洁

目的 探讨新生儿重症监护中心环境对早产儿的不良影响以及干预措施。方法 将60例早生儿分为两组。对照组（30例）早产儿均给予常规干预，观察组（30例）早产儿则给予其相应的综合环境干预，统计两组早产儿在每日摄奶量、体质量以及首次排便时间等指标上的差异。结果 观察组早产儿出生后7 d、出生后14 d的体质量以及每日摄奶量均高于对照组，差异显著（P＜0.05）。观察组早产儿首次排便时间（7.7±2.4）h、出生7 d后血清总胆红素含量为（12.2±1.5）mg/dl；对照组早产儿首次排便时间（25.7±4.6）h、出生7 d后血清总胆红素含量（15.1±1.4）mg/dl。对比差异均有显著性（P＜0.05）。结论 新生儿重症监护中心环境对早产儿的不良影响集中在摄奶量、体质量等方面，而综合环境干预则能有效改善这一现象。

新生儿重症监护中心；早产儿；不良影响；环境干预

【Abstract】

Objective To study effect of the neonatal intensive care center environment of premature infants and intervention measures. Methods 60 cases of premature infants were divided into two groups. Control group （30 cases） premature infants were given routine intervention， the observation group（30 cases） premature were given the corresponding comprehensive environmental intervention. The daily milk taken， body quality and for the first time defecation time of the premature infants in two group were statistics and compare. Results The body quality and daily milk in the observation group of premature birth after 7 d， 14 d after the birth were higher than control group， had the significant difference（P＜0.05）. The first time defecation time of the observation group premature babies was （7.7±2.4）h，the serum total bilirubin after born 7 d was（12.2±1.5）mg/dl；The first time defecation time of the control group premature infants was（25.7±4.6）h， the serum total bilirubin after born 7d was（15.1±1.4）mg/dl，the differences were significant （P＜0.05）. Conclusion The unhealthy influence of environment on preterm neonatal intensive care center focuses on perturbation milk supply， body quality and so on， while the comprehensive environmental intervention can effectively improve the phenomenon.

【Key words】Neonatal intensive care center， Premature infants， Unhealthy influence， Environmental intervention

早产儿出生后一般要送入新生儿重症监护中心进行监测，然而出生后环境的改变也会对早产儿造成生理、心理上的强烈刺激，对早产儿的成长发育造成严重影响［1-2］。本次研究将探讨新生儿重症监护中心环境对早产儿的不良影响以及干预措施，现报道如下。

1　资料与方法

1.1 临床资料

抽选2014年1月～2015年2月在我院入住新生儿重症监护中心接受救治的早产儿60例为研究对象，随机数字表法分为两组。观察组（30例）早产儿中男18例，女12例，胎龄28～36周，平均（32.8±2.5）周，体质量1.4～2.0 kg；对照组（30例）早产儿中男16例，女14例，胎龄28～37周，平均（32.6±2.4）周，体质量1.4～2.1 kg。……