护理干预对新生儿缺氧缺血性脑病预后的影响  

Influence of nursing intervention on the prognosis of neonatal hypoxic ischemic encephalopathy

作　　者：欧阳晓红[1] 丘惠娴[1] 陈秀琼[1] 

机构地区：[1]深圳市龙岗中心医院新生儿科,广东深圳518116

出　　处：《中国医药科学》2014年第13期145-147,共3页China Medicine And Pharmacy

摘　　要：目的探讨护理干预对新生儿缺氧缺血性脑病预后的影响。方法选取2011年3月-2013年3月我院儿科进行治疗的患儿60例,随机分为对照组与干预组各30例。对照组进行常规护理,干预组在此基础上进行护理干预。对两组患儿的临床疗效及3,6,9,12个月的运动发育指数(PDI)及平均智能发育指数(MDI)进行及预后情况进行比较。结果干预组总有效率为93.33%,明显高于对照组的76.67%,两组比较,差异显著(P<0.05)。两组患儿的3个月的运动发育指数比较,差异不显著;干预组患儿的6,9,12个月的运动发育指数显著高于对照组,两组比较,差异显著(P<0.05)。干预组患儿的平均智能发育指数在3,6,9,12个月时比较,显著高于对照组,差异显著(P<0.05)。干预组的并发症发生率(20.00%)明显低于对照组的发生率(43.33%),两组比较差异显著(P<0.05)。结论对HIE患儿进行护理干预,可以改善预后,促进智力发育,降低后遗症的发生率。ObjectiveTo explore the influence of nursing intervention on the prognosis of neonatal hypoxic ischemic encephalopathy.Methods60 cases of Pediatrics were collected from 2011 March -2013 year in March in the hospital, and were randomly divided into control group and intervention group with 30 patients in each group. The control group was given routine nursing,the intervention group on the basis ofnursing intervention.Clinical efficacy of the two groups of children withand 3,6,9,12 months of psychomotor development index （PDI） and average intelligence development index （MDI） and prognosis were compared.ResultsThe intervention group the total effective rate was 93.33%, significantly higher than that in control group 76.67%,two groups,significant difference（P〈0.05）.Development of 3 months of two groups of children with index,the difference was not significant; the intervention group were6,9,12 months of psychomotor development index was significantly higher than the control group,the two groups, significant difference（P〈0.05）. The average intelligence intervention groups of children withdevelopmental index at 3,6,9,12 months,significantly higher than the control group （P〈0.05）. The intervention group the incidence of complications （20.00%） was significantly lower than the rate of control group （43.33%）,the difference between the two groupswas significant （P〈0.05）.ConclusionNursing intervention for children with HIE, can improve the prognosis,promote mental development,reduce the incidence of sequelae.

关 键 词：护理干预 新生儿 缺氧缺血性脑病 预后 

分 类 号：R473.72[医药卫生—护理学]