高间接胆红素血症光疗新生儿行不同眼罩摘除干预对睡眠质量影响

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Effect of Different Eye Mask Removal Interventions on Sleep Quality in Neonates with Indirect Hyperbilirubinemia Undergoing Phototherapy

（Department of Neonatology，Songjiang District Maternal and Child Health Hospital，Shanghai 2O160o，China）

AbstractObjective：Toexploretheefectsofdiferent eye maskremovalinterventionsoncomfortandsleepqualityinnewborns with ndirecthyperbilirubinemiaundergoingphototherapy.Methods：AtotalofOOneonateswithsevereindirecthyperbilirubinemiatreated withphototherapyinourhospitalfrom May2O23toMay2O25wereselectedandrandomlydividedintotwogroups （ n=50 ）usingarandomnumber table method.The control group underwentconventional method toremove the eye mask，while theobservationgroupreceivedanimprovedmethodtoremove theeyemask.Theinterventionefectsofthetwogroupswerecompared.Results：Comparedwiththecontrol group，theoservationgroupexhibitedlowerincidenceoffacialpositivityetterslep andmetabolicconditionsandlowerlevelsofjaundiceindex（J），serumbilirubin（TBil），andincidenceofadversereactiosan the control group（ P<0.05 ）. Conclusion：Gradual removal of light-shielding cloth for phototherapy in newborns with high indirect bilirubinemia can improve their sleep quality and promote recovery.

KeywordsHyperbilirubinemia; Phototherapy;Newborn;Removal of eye mask;Light blocking; Slepquality; Jaundice index; Serum bilirubin

中图分类号：R338.63;R715.8 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.10.015

高间接胆红素血症（NeonatalUnconjugated Hy-perbilirubinemia，NUH）是新生儿常见的一种疾病，主要表现为血清总胆红素（TotalBilirubin，TBil）水平升高，其中以未结合胆红素即间接胆红素（IndirectBil-irubin，IBil）增加为主[1-2]。（剩余4470字）