亚低温治疗新生儿缺氧缺血性脑病的护理  

Nursing of mild hypothermia therapy new-born with hyacidepoxic ischemic encephalopathy

作　　者：刘素哲[1] 刘翠青[1] 李丽[1] 纪素粉[1] 

机构地区：[1]河北省儿童医院新生儿科,050031

出　　处：《护理实践与研究》2011年第21期65-67,共3页Nursing Practice and Research

摘　　要：目的:选择性头部降温治疗新生儿缺氧缺血性脑病时的生命体征的观察与护理。方法:选择重度窒息、生后24 h内的足月新生儿50例,随机分为两组,每组25例。治疗组用选择性头部降温的方法,维持直肠温度在(35±0.2)℃,头部温度维持在(34±0.3)℃,维持头部降温72 h;对照组不进行降温治疗。分别对两组进行心率、呼吸、血压、经皮血氧饱和度监测,用SPSS 10.0统计软件对监测数据进行检验。结果:治疗组除心率在72 h与对照组相比存在明显下降外(P<0.01),其余指标均无显著性差异。结论:在护理上除严密监测患儿的体温、保持直肠温度在(35.±0.2)℃外,还应监测生命体征的变化。Objective：Observation and care of vital sign that selective head cooling with mild hypothermia treating of neonate hyacidepoxic-ischemic encephalopathy（HIE）.Methods：To select 50 full-term newborn infant which of severe asphyxia,within 24 hours birth,the patients were randomized in a non-blinded manner to two groups which of 25 patients.The therapy group received by treatment of head cooling with hypothermia,rectal temperature maintained at（35±0.2）℃,head temperature maintained at（34±0.3）℃,to reduce the temperature maintained 72 hours.control group received conventional therapy.Monitoring parameters of blood pressure,heart,breathing and percutaneous oxygen saturation.The data were to be carry on statistics processing used of statistical analysis SPSS 10.0 statistics software.Results：The therapy group except the heart to descend obviously than control group in 72 hours（P0.01）,the rest index were no significant difference.Conclusion：In nursing,except monitoring body temperature,maintained rectal temperature at（35±0.2）℃,we also ought to monitoring the change of vital sign.

关 键 词：新生儿 缺氧缺血性脑病 亚低温 

分 类 号：R473.72[医药卫生—护理学]