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早期护理对剖宫产新生儿的远期疗效及安全性分析

作者:王艳月

所属单位:河南省开封市妇幼保健院新生儿科 (河南 开封 475000)

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摘要

目的 研究早期护理剖宫产新生儿的远期疗效及安全性。方法 选择我院2015年3月-2016年3月出生的134例剖宫产新 生儿,按照双盲法分为两组。对照组新生儿单纯接受我院新生儿常规护理措施,观察组新生儿在此基础上实施早期 护理措施。对比两组新生儿神经行为、及1年后的发育商,出生后并发症情况及远期影响指标。结果 出生后30d, 观察组新生儿的神经行为评分(1.97±0.5)显著高于对照组(1.65±0.4),差异有统计学意义(P<0.05)。观察组新 生儿发生并发症情况显著低于对照组,差异有统计学意义(P<0.05);观察组新生儿远期影响、出生后12个月发育 商均显著优于对照组新生儿,差异有统计学意义(P<0.05)。结论 针对剖宫产新生儿实施早期护理有助于提高新生 儿的健康状况和生活质量,降低并发症的发生率,提高患儿神经及发育商,安全有效,值得临床推广。

Objective To study the long-term therapeutic effect and safety of early nursing on neonates via cesarean section. Methods From Mar. 2015 to Mar. 2016, 134 neonates via cesarean section in our hospital were divided into two groups according to double blind method. Both groups were given routine nursing measures, besides, the observation group was given additional early nursing measures. The neurobehaviors, development quotient 1 year after birth, complications after birth and long-term impact indicators in the two groups were compared. Results 30d after birth, the neurobehavioral score in the observation group was(1.97±0.5)which was significantly higher than that in the control group (1.65±0.4), and the difference was statistically significant (P<0.05). The incidence rate of neonatal complications in the observation group was significantly lower than in the control group, the difference was statistically significant (P<0.05), the long-term impact indicator and developmental quotient 12 months after birth in the observation group were significantly better than those in the control group, the difference was statistically significant (P<0.05). Conclusion Early nursing which is safe and effective, can improve the health status and quality of life for neonates via cesarean section, reduce the incidence of complications and improve their nerve development and development quotient. Thus, it is worthy of clinical promotion.

【关键词】早期护理;剖宫产新生儿;远期疗效;发育商

【中图分类号】R719.8+2

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.05.029

前言

近年,剖宫产术已经成为产科领域中的重要手 术,剖宫产新生儿因缺乏先天感觉统合锻炼的机会, 出生后的早期影响及护理对于孩子体格成长、健康状 况及脑功能发育有关键的作用,是保证早期影响和新 生儿远期影响的关键。科学合理的早期护理能够提高 新生儿健康状况,减少剖宫产后新生儿并发症,帮助 新生儿健康成长[1]。本次研究就在我院行剖宫产出生 的134例新生儿作为研究对象,分别行常规护理和早 期护理措施,就其远期疗效和安全性展开分析。