目的：探讨新生儿鹅口疮不同护理方法的效果差别。方法选取NICU（新生儿重症监护病房）100例患者，然后随机分为两组，每组50例，实验组采取的方法为1.4％碳酸氢钠2 mL加制霉菌素10～20 U口腔护理，对照组采取的方法为制霉菌素10～20 U粉剂，用棉签蘸取开塞露与制霉菌素粉剂进行口腔护理，对两组口腔体征的改善情况进行比较分析。结果对照组鹅口疮护理的天数较实验组少，差异有统计学意义（P＜0.05）。结论通过开塞露与制霉菌素粉末混合使用的护理方法可以提高新生儿鹅口疮护理质量。

Objective Study the difference between the neonatal thrush of different ways of nursing effect. Methods Select NICU in 100 cases, and then randomly divided into two groups, 50 cases in each group, the experimental group adopted the method of 1.4%2 mL of sodium bicarbonate plus nystatin 10~20 U oral care,the control group method adopted for nystatin 10~20U powder, use cotton swabs dipped in glycerine enemaafter dipping the nystatin powder for oral care, to improve the situation of two groups of oral signs ofcomparative analysis. Results The control group oral thrush care days less than experimental group, the difference was statistically signiifcant (P<0.01). Conclusion Through the nursing methods of glycerine enema and nystatin powder mixed use can improve the quality ofnursing care of neonatal thrush.

治疗婴幼儿鹅口疮，观察组41例：10％的大黄煎剂擦拭患处，“白矾3份＋黄连2份＋冰片1份”研成粉末涂布患处；对照组41例：1％～2％碳酸氢钠擦洗患处，每毫升含5万～10万单位的制霉菌素甘油涂布患处。总有效率：观察组95．12％（39／41），对照组75．61％（31／41），通过秩和检验，P ＜0．05。中药外用治疗婴幼儿鹅口疮有临床应用价值。

41 cases of infant thrush in observation group were treated by 10% rhubarb decoction wipe on the affected area followed by pow-dered “alum 3 +goldthread 2 +borneol 1”coating;41 cases in the control group were treated by 1% ~2% baking soda scrub on the affect-ed area followed by glycerol wipe containing 50 000 to 100 000 units/ml of nystatin.The efficiency was 95.12%(39 /41)and 75.61%(31 /41)in observation and control groups respectively(P <0.05).The external use of chinese medicine is effective in the treatment of in-fant thrush.

目的：研究碳酸氢钠联合制霉菌素治疗小儿鹅口疮的临床效果，为该类疾病的治疗提供依据。方法：对2010年12月-2013年9月本院入院治疗的242例0~6个月鹅口疮小儿患者进行了研究，随机分为两组，每组各121例。对照组患儿单独涂布制霉菌素，治疗组患儿在对照组治疗基础上，加用2%的碳酸氢钠涂布于患处，每天涂布3~4次，观察并记录两组患儿临床症状消失时间，比较复发率和临床总有效率，并比较两组患儿的不良反应。结果：治疗组患儿在1~2 d内白斑消失例数明显高于对照组，差异有统计学意义（P<0.05）；治疗组患儿3个月及6个月的复发率分别为2.2%和4.7%，明显低于对照组10.9%和24.4%，两组比较差异有统计学意义（P<0.05）；治疗组临床总有效率为96.7%，明显高于对照组的81.1%，差异有统计学意义（P<0.05）；治疗组患儿皮疹、呕吐等不良反应发生率明显低于对照组，差异有统计学意义（P<0.05）。结论：碳酸氢钠联合制霉菌素治疗小儿鹅口疮临床效果显著，同等治疗时间内，临床症状改善更明显，并且复发率低，临床效果显著，患儿耐受性好，值得临床推广应用。

Objective:To study the clinical effect sodium bicarbonate with nystatin on the treatment of pediatric thrush, for the proof of this kind of disease.Method: A total of 242 cases of 0 to 6 months thrush pediatric patients from December 2010 to September 2013in our hospital were randomly divided into two groups,121 cases in each group. The control group was coated nystatin powder, the treatment groups was treated by 20% of sodium bicarbonate for 3-4 times a day on the base of the nystatin powder, the clinical symptoms disappear time, the recurrence rate, the total clinical effect and the adverse effect were observed and compared.Result: The time of vitiligo disappear of 1-2 days in treatment group significant higher than the control group,the difference was statistically significant(P<0.05); the treatment group of recurrence rate in 3 months and 6 months were 2.2% and 4.7%, they were significant lower than the control group of 10.9% and 24.4%,the difference was statistically sig

目的探讨新生儿出院后予定期回访的护理指导对降低新生儿常见疾病发生率的作用。方法成立出院患儿定期回访护理服务小组，对45例单胎、第1胎初产妇出院新生儿（定期回访组）进行定期回访与电话回访，并与以往仅接受电话咨询的45例单胎、第1胎初产妇出院新生儿（对照组）进行新生儿常见疾病发生率等指标的比较。结果出院后4周定期回访组新生儿脐部感染、红臀、鹅口疮、湿疹、结膜炎的发生率显著低于对照组（ P＜0.05及 P＜0.01）；定期回访组产妇母乳喂养率及对营养、育儿知识掌握情况与对照组相比差异有统计学意义（ P＜0.01）。结论定期回访对促进初产妇掌握相关新生儿营养、护理知识及技能具有显著促进作用，能有效降低出院新生儿常见疾病的发生率。

Objective To explore the effect of the nursing instructions on the post-discharge infants with the regular interview to reduce the incidence of some common diseases .Methods Visit nursing service group was es-tablished in hospital .45 cases of infants (single birth ,primipara group) were regularly paid return visits and tele-phone visits ,and the control group was just given telephone visits .Two groups were compared for the incidences of common diseases .Results Four weeks after leaving hospital ,the incidence of navel infection ,thrush ,eczema and conjunctivitis was significantly lower than those in control group ( P<0.05 and P<0 .01);The parenting knowl-edge about nutrition and breast feeding rate was statistically significant compared with the control group ( P <0.01) .Conclusion Regularly paying return visits has a significant effect on promoting nursing knowledge and skills of primipara ,which can effectively reduce the incidence rates of discharge from the common diseases of the

目的：探讨协同护理模式对出院后产褥期母婴健康的影响。方法选取2013年3月—2014年2月妇产科分娩的400名产妇作为研究对象，根据随机数字表法随机分为观察组与对照组，每组各200名。观察组以协同护理为理论框架，进行为期6周的护理干预；对照组进行一般护理。比较两组产褥期产妇及新生儿的健康状况。结果观察组产妇产褥期发生急性乳腺炎2名、产后便秘26名、会阴伤口疼痛3名、痔疮和肛裂21名、乳汁分泌不足41名、子宫复旧不良16名，均少于对照组，差异有统计学意义（χ2值分别为10．911，17．655，6．019，11．368，9．011，4．334；P＜0．05）。观察组新生儿发生黄疸24名、湿疹31名、红臀21名、鹅口疮3名，均少于对照组，差异有统计学意义（χ2值分别为6．510，7．062，8．762，8．699；P＜0．05）。结论协同护理是一种有效的护理干预模式，对产褥期母婴健康具有一定的临床指导意义。

Objective To investigate the effects of Collaborative Care Model ( CCM ) for postpartum maternal and child health after discharge.Methods From March 2013 to February 2014, a total of 400 cases maternal were selected and divided into the study group and the control group according to a random number table.The study group was given a 6-month nursing intervention based on the CCM theoretical frame work, while the control group was given the general care.The postpartum maternal and child health were compared between the two groups.Results In the study group, 2 patients had acute mastitis, 26 patients had postpartum constipation, 3 patients had perineal wound pain, 21 patients had hemorrhoids, 41 patients had lack of milk secretion, 16 patients had uterine involution, which were all significantly fewer than those in the control group (χ2 =10.911, 17.655, 6.019, 11.368, 9.011, 4.334,respectively;P <0.05).In the study group, 24 children had neonatal jaundice symptoms;31 children ha