延续性护理干预对极低及超低出生体重早产儿生长发育影响的Meta分析  

Meta Analysis of Effect of Continuous Nursing Intervention on Growth and Development of Premature Infants with Extremely Low and Ultra Low Birth Weight

作　　者：侯贺 杨淑梅[1] 高霞[1] HOU He;YANG Shumei;GAO Xia(Shengli Oilfield Central Hospital,Dongying 257034,China)

机构地区：[1]胜利油田中心医院,山东东营257034

出　　处：《中国医学创新》2018年第18期91-96,共6页Medical Innovation of China

摘　　要：目的:通过Meta分析延续性护理干预对极低及超低出生体重早产儿生长发育影响。方法:计算机检索国内外有关延续性护理干预对极低及超低出生体重早产儿生长发育影响的随机对照试验,经质量评价后,采用Rev Man 5.3软件进行Meta分析。结果:共纳入12项随机对照试验,包括1 426例患者,Meta分析结果显示,延续护理组与常规护理组早产儿的神经心理发育比较,差异有统计学意义[MD=-5.92,95%CI(-6.71,-5.13),P<0.000 01];延续护理组与常规护理组早产儿的NBNA行为运动发育比较,差异有统计学意义[MD=-5.84,95%CI(-6.31,-5.36),P<0.000 01];延续护理组与常规护理组早产儿身长发育比较,差异有统计学意义[MD=-1.45,95%CI(-1.77,-1.14),P<0.000 01];延续护理组和常规护理组早产儿体重比较差异有统计学意义[MD=-3.82,95%CI(-3.12,-2.53),P=0.01];延续护理组和常规护理组早产儿头围比较差异无统计学意义[MD=-1.63,95%CI(-1.27,0.81),P=0.72]。结论:延续护理可以改善新生儿的神经发育状况、可以提高早产儿的运动行为,能增加新生儿的身长及体重,但受纳入研究质量限制,上述结论尚需开展更多高质量研究予以验证。Objective：To analyze the effect of continuous nursing intervention on the growth and development of premature infants with extremely low and ultra low birth weight by Meta analysis.Method：A computer-controlled randomized controlled trial on the effect of continuous nursing intervention on the growth and development of extremely low and ultra low birth weight preterm infants was searched by computer.After the quality evaluation,Meta analysis was performed by Rev Man 5.3 software.Result：A total of 12 randomized controlled trials were included,included 1 426 patients.Meta analysis showed that the neuropsychological development in continuous nursing group and routine care group was compared,the difference was statistically significant[MD=-5.92,95%CI（-6.71,-5.13）,P0.000 01].The NBNA behavior and motor development in continuous nursing group and routine care group was compared,the difference was statistically significant[MD=-5.84,95%CI（-6.31,-5.36）,P0.000 01].The body length development in continuous nursing group and routine care group was compared,the difference was statistically significant[MD=-1.45,95%CI（-1.77,-1.14）,P0.000 01].The weight in continuous nursing group and routine care group was compared,the difference was statistically significant[MD=-3.82,95%CI（-3.12,-2.53）,P=0.01].The head circumference o in continuous nursing group and routine care group was compared,the difference was statistically significant [MD=-1.63,95%CI（-1.27,0.81）,P=0.72].Conclusion：Continuous nursing can improve the neurological status of neonates,improve the motor behaviors of premature infants,and increase the length and weight of neonates.However,due to the limited research quality,the above conclusion still needs to be verified by more high-quality research

关 键 词：延续性护理 极低及超低出生体重 早产儿 生长发育 META分析 

分 类 号：R473.72[医药卫生—护理学]