综合性护理干预在新生儿缺氧缺血性脑病的临床价值研究
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摘要
目的研究分析综合性护理干预对新生儿缺氧缺血性脑病的临床效果。方法将我院2015年1月～2017年3月收治的缺氧缺血性脑病新生儿88例,按随机数字表法分为参照组和研究组各44例,参照组给予患儿常规护理干预,研究组在此基础上给予患儿综合性护理干预。比较两组患儿6个月和12个月时的智力发育指数(MDI)、运动发育指数(PDI);12个月时身高、头围和体质量情况以及并发症发生率。结果研究组患儿在6个月和12个月时的MDI和PDI均明显高于参照组(P <0.05);在12个月时的身高、头围和体质量均显著高于参照组;并发症发生率为6.82%,显著低于参照组的20.45%,差异有统计学意义(P <0.05)。结论对缺氧缺血性脑病新生儿给予综合性护理干预效果确切,有利于促进患儿后期生长发育,减少并发症发生率,提升其生活质量。
Objective To study and analyze the clinical curative effect of comprehensive nursing intervention in neonatal hypoxic ischemic encephalopathy. Methods Eighty-eight neonates with hypoxic ischemic encephalopathy who were admitted and treated in Wuhua People's Hospital of Meizhou from January 2015 to March 2017 were selected.According to the random number table method,they were divided into the reference group and the study group,with 44 cases in each group.Neonates in the reference group were given routine nursing intervention while neonates in the study group were given comprehensive nursing intervention.The scores of mental development index(MDI)and physical development index(PDI)on 6 months and 12 months,height,head circumference and body weight on 12 months and the incidence of complications of neonates were followed and compared between the two groups. Results MDI and PDI on 6 months and 12 months of neonates in the study group were all significantly higher than those of the reference group(P < 0.05).Height,head circumference and body weight on 12 months of neonates in the study group were all significantly higher than those of the reference group.The incidence of complications of neonates in the study group was 6.82%,significantly lower than 20.45% in the reference group.All differences were statistically significant(P < 0.05). Conclusion Comprehensive nursing intervention for neonatal hypoxic ischemic encephalopathy has accurate curative effects.It is conducive to promoting the growth and development of neonates in the later period,reducing the incidence of complications and improving their quality of life.
Objective To study and analyze the clinical curative effect of comprehensive nursing intervention in neonatal hypoxic ischemic encephalopathy. Methods Eighty-eight neonates with hypoxic ischemic encephalopathy who were admitted and treated in Wuhua People's Hospital of Meizhou from January 2015 to March 2017 were selected.According to the random number table method,they were divided into the reference group and the study group,with 44 cases in each group.Neonates in the reference group were given routine nursing intervention while neonates in the study group were given comprehensive nursing intervention.The scores of mental development index(MDI)and physical development index(PDI)on 6 months and 12 months,height,head circumference and body weight on 12 months and the incidence of complications of neonates were followed and compared between the two groups. Results MDI and PDI on 6 months and 12 months of neonates in the study group were all significantly higher than those of the reference group(P < 0.05).Height,head circumference and body weight on 12 months of neonates in the study group were all significantly higher than those of the reference group.The incidence of complications of neonates in the study group was 6.82%,significantly lower than 20.45% in the reference group.All differences were statistically significant(P < 0.05). Conclusion Comprehensive nursing intervention for neonatal hypoxic ischemic encephalopathy has accurate curative effects.It is conducive to promoting the growth and development of neonates in the later period,reducing the incidence of complications and improving their quality of life.
引文
[1]余丹.早期综合康复护理对新生儿缺氧缺血性脑病运动功能和智能发育的影响分析[J].河南医学研究,2016,25(8):1534-1535.
[2]吴乐芳.对84例缺氧缺血性脑病新生儿实施循证护理的效果[J].湖北科技学院学报(医学版),2018,32(4):359-361.
[3]陈文清,龙颖,马晓利.高压氧辅助治疗缺氧缺血性脑病86例护理体会[J].齐鲁护理杂志,2018,24(9):98-100.
[4]吕俊英,梁莉丹,王逸扬.早期护理干预对新生儿缺氧缺血性脑病的疗效及发育的影响[J].中国现代医生,2015,53(27):146-149.
[5]杨新芳.新生儿缺氧缺血性脑病早期治疗及护理干预[J].中国卫生标准管理,2015,6(17):256-258.
[6]王亚珠,贾少军.早期综合康复护理对新生儿缺氧缺血性脑病运动功能和智能发育的影响[J].内科,2015,10(1):50-51,40.
[7]蔡欣茹.预见性护理在新生儿窒息致缺血缺氧性脑病的应用[J].安徽卫生职业技术学院学报,2018,17(2):128-129.
[8]朱小凤,王红娟.早期护理干预在新生儿缺氧缺血性脑病中的应用效果[J].临床医学研究与实践,2018,3(11):178-179.
[9]罗木娇,陈来英.综合性护理干预在新生儿缺氧缺血性脑病的应用及效果分析[J].黑龙江医学,2015,39(12):1385-1386.
[10]叶丽英,陈晓茜,陈木全.新生儿缺氧缺血性脑病的综合护理[J].医学理论与实践,2014,27(11):1521-1523.
[11]朱媛媛,杨小红,洪菲.袋鼠式护理干预对缺氧缺血性脑病新生患儿神经行为的影响[J].解放军医院管理杂志,2017,24(11):1065-1067.
[12]张舒梅.综合护理干预对新生儿缺氧缺血性脑病疗效的影响[J].现代中西医结合杂志,2013,22(29):3278-3279.
[13]冯婕.早期护理干预对新生儿缺氧缺血性脑病预后的影响[J].河南医学研究,2017,26(5):937-938.
[14]刘翱搏,李杨.全身亚低温疗法在新生儿缺氧缺血性脑病治疗中的应用及其护理[J].解放军护理杂志,2017,34(6):36-40.
[15]郭俊丽.新生儿缺氧缺血性脑病的早期综合干预及康复治疗的疗效观察[J].菏泽医学专科学校学报,2016,28(4):64-66.
[16]孙晓华,谢颖,闫慧娟,等.新生儿缺氧缺血性脑病亚低温治疗中预见性临床护理效果观察[J].河北医学,2016,22(6):1031-1033.
[2]吴乐芳.对84例缺氧缺血性脑病新生儿实施循证护理的效果[J].湖北科技学院学报(医学版),2018,32(4):359-361.
[3]陈文清,龙颖,马晓利.高压氧辅助治疗缺氧缺血性脑病86例护理体会[J].齐鲁护理杂志,2018,24(9):98-100.
[4]吕俊英,梁莉丹,王逸扬.早期护理干预对新生儿缺氧缺血性脑病的疗效及发育的影响[J].中国现代医生,2015,53(27):146-149.
[5]杨新芳.新生儿缺氧缺血性脑病早期治疗及护理干预[J].中国卫生标准管理,2015,6(17):256-258.
[6]王亚珠,贾少军.早期综合康复护理对新生儿缺氧缺血性脑病运动功能和智能发育的影响[J].内科,2015,10(1):50-51,40.
[7]蔡欣茹.预见性护理在新生儿窒息致缺血缺氧性脑病的应用[J].安徽卫生职业技术学院学报,2018,17(2):128-129.
[8]朱小凤,王红娟.早期护理干预在新生儿缺氧缺血性脑病中的应用效果[J].临床医学研究与实践,2018,3(11):178-179.
[9]罗木娇,陈来英.综合性护理干预在新生儿缺氧缺血性脑病的应用及效果分析[J].黑龙江医学,2015,39(12):1385-1386.
[10]叶丽英,陈晓茜,陈木全.新生儿缺氧缺血性脑病的综合护理[J].医学理论与实践,2014,27(11):1521-1523.
[11]朱媛媛,杨小红,洪菲.袋鼠式护理干预对缺氧缺血性脑病新生患儿神经行为的影响[J].解放军医院管理杂志,2017,24(11):1065-1067.
[12]张舒梅.综合护理干预对新生儿缺氧缺血性脑病疗效的影响[J].现代中西医结合杂志,2013,22(29):3278-3279.
[13]冯婕.早期护理干预对新生儿缺氧缺血性脑病预后的影响[J].河南医学研究,2017,26(5):937-938.
[14]刘翱搏,李杨.全身亚低温疗法在新生儿缺氧缺血性脑病治疗中的应用及其护理[J].解放军护理杂志,2017,34(6):36-40.
[15]郭俊丽.新生儿缺氧缺血性脑病的早期综合干预及康复治疗的疗效观察[J].菏泽医学专科学校学报,2016,28(4):64-66.
[16]孙晓华,谢颖,闫慧娟,等.新生儿缺氧缺血性脑病亚低温治疗中预见性临床护理效果观察[J].河北医学,2016,22(6):1031-1033.