新生儿缺氧缺血性脑病采用护理康复路径的效果分析  

Clinical Effect of Rehabilitation Nursing Pathway for Neonatal Hypoxic-Ischemic Encephalopathy

作　　者：丁霞[1] 郑琪[1] 罗彬[1] 姚招 

机构地区：[1]湖南省儿童医院新生儿四科,湖南长沙410007

出　　处：《临床医学工程》2015年第3期349-350,共2页Clinical Medicine & Engineering

摘　　要：目的探讨在新生儿缺氧缺血性脑病中应用护理康复途径的疗效。方法在2011年2月至2013年8月来我院治疗的新生儿缺氧缺血性脑病患儿中抽取120例,分为观察组和对照组各60例,对照组患儿应用常规护理模式,观察组患儿在常规护理的基础上应用护理康复路径进行护理。记录两组患儿在治疗前和治疗后1、3、6个月的智力发育、运动发育和神经行为评分。结果两组患儿在治疗前的运动发育指数、智力发育指数和神经行为评分差异无统计学意义(P>0.05)。治疗后1、3、6个月的运动发育、智力发育和神经行为均有所改善,且观察组患儿的改善程度显著优于对照组,差异有统计学意义(P<0.05)。结论应用护理康复路径对缺氧缺血性脑病患儿的疗效显著,可促进患儿的智力和运动功能的发育,以及脑部神经的恢复。Objective To explore the efficacy of rehabilitation nursing pathway for neonatal hypoxic-ischemic encephalopathy.Methods 120 cases of neonatal hypoxic-ischemic encephalopathy in our hospital from February 2011 to August 2013 were selected and divided into two groups, with 60 cases in each group. The control group was given routine nursing mode, while the observation group was given rehabilitation nursing pathway on the basis of routine nursing. The physical development index, neurobehavioral score and intellectual development index before therapy, and 1 month, 3 months and 6 months after therapy were observed in both groups. Results There were no statistically significant differences between two groups in physical development index, neurobehavioral score and intellectual development index before therapy（P〈0.05）. At 1 month, 3 months and 6 months after therapy, the physical development index, neurobehavioral score and intellectual development index improved significantly in both groups（P〈0.05）, and the improvement degrees of observation group were significant better than those of control group（P〈0.05）. Conclusions Rehabilitation nursing pathway has significant efficacy for neonatal hypoxic- ischemic encephalopathy, which can promote the mental and motor function development, and the recovery of brain nerve.

关 键 词：护理康复路径 新生儿 护理模式 缺氧缺血性脑病 

分 类 号：R473.72[医药卫生—护理学]