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[目的]总结70例人类免疫缺陷病毒(HIV)暴露新生儿母婴阻断药物预防的护理。[方法]收集2012年—2013年6月出生的新生儿70例,出生后护理中强调:出生后彻底清理皮肤;及早清除误吸入消化道的羊水,所有的新生儿进行洗胃及留置胃导管,根据洗胃情况判定是否需要停留胃管及再次洗胃;密切观察服药过程中新生儿腹部体征及消化道症状;加强隔离防护,合理人工喂养,做好出院宣教及出院随访。[结果]70例新生儿顺利完成了预防性抗病毒用药;随访18个月后全部新生儿HIV抗体阴性。[结论]实施综合性护理干预,可以减轻HIV暴露新生儿母婴阻断服药期间的不良反应,保障预防药物的疗效。
[Objective] To summarize the nursing care of 70 cases of immunosuppressive drugs (HIV) exposed mothers and infants in neonates. [Methods] Seventy cases of newborns born from 2012 to June 2013 were collected. Postnatal care emphasizes that the skin should be thoroughly cleaned after birth; early removal of amniotic fluid which is inadvertently ingested into the digestive tract; gastric lavage and indwelling gastric catheter , According to gastric lavage determine whether the need to stay in the stomach and gastric lavage again; close observation of neonatal abdomen signs and gastrointestinal symptoms during medication; to strengthen the isolation protection, reasonable artificial feeding, good discharge and good discharge and follow-up. [Results] Seventy newborns successfully completed the prophylactic antiviral medication. All newborn HIV antibodies were negative after 18 months of follow-up. [Conclusion] The implementation of comprehensive nursing intervention can relieve the adverse reactions of mother-infant neonates during the period of blocking the administration of HIV and ensure the efficacy of preventive drugs.