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·头颈疾病·

早期护理干预对新生儿缺氧缺血性脑病预后的影响

作者:王楠楠 孟洁琼 李 慧

所属单位:河南省洛阳市妇女儿童医疗保健中心新生儿科 (河南 洛阳 471000)

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摘要

目的 探讨对患有缺氧缺血性脑病的新生儿采用早期护理干预对其预后的影响。方法 本组收集我院2011年6月-2014 年6月间接诊的患有缺氧缺血性脑病的160例新生儿进行临床研究,通过随机分组法将其随机分成对照组(80例)与干 预组(80例)。对照组80例患儿施行常规护理干预,干预组80例患儿则在常规护理的基础上加用早期护理干预。观察 两组患儿护理干预后的智力及运动能力发育情况。结果 干预组患儿干预后6个月与12个月时的MDI评分、PDI评分均 显著高于对照组(P<0.05),干预组护理干预后12个月时的适应能力、大运动能力、精细运动及语言能力均显著优 于对照组(P<0.05)。结论 对缺氧缺血性脑病患儿采用早期护理干预有助于促进其智力及运动能力的发育,改善预 后。

Objective To study the effect of early nursing intervention on the prognosis of neonates with hypoxic-ischemic encephalopathy. Methods From Jun. 2011 to Jun. 2014, a total of 160 neonates with hypoxic-ischemic encephalopathy who accepted treatment in our hospital were taken as the clinical research objects, and these patients were randomly divided into intervention group (80 cases) and control group (80 cases). All of these patients were treated with conventional care. Besides, the intervention group received additional early nursing intervention in order to compare their mental and motor development. Results 6 and 12 months after intervention, the MDI and PDI score in the intervention group were significantly higher than those in the control group (P<0.05), 12 months after intervention, the adaptive ability, gross motor ability, fine motor and language ability of the intervention group were significantly better than those of the control group (P<0.05). Conclusion Early nursing intervention can not only promote the development of intelligence and exercise capacity, but also improve the prognosis of neonates with hypoxic-ischemic encephalopathy.

【关键词】早期护理干预;新生儿缺氧缺血性脑病;智力发育;运动;预后

【中图分类号】R272.1

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2016.04.009

前言

缺氧缺血性脑病是一种常见的新生儿疾病,若没 有及时给予科学合理的治疗措施及护理干预,可能会 危急患儿的生命[1]。为了分析早期护理干预在该疾病 患儿护理中的临床价值,本次研究收集我院2011年6 月~2014年6月间接诊的患有缺氧缺血性脑病的160例 新生儿进行临床研究,给予早期护理干预,并与常规 护理患儿进行对比,现总结报告如下。