基于健康宣教与保健的早期干预在脑瘫高危儿中的应用价值及预后随访观察  

Application value and prognosis of early intervention based on health education and health care in high-risk infants with cerebral palsy

作　　者：屈克丽 高美哲 王春霞 郝莉 QU Ke-li;GAO Mei-zhe;WANG Chun-xia;HAO Li(Department of Child Health Care,Shandong Provincial Third Hospital,Jinan 250031,Shandong,China;不详)

机构地区：[1]山东省立第三医院儿童保健科,山东济南250031 [2]山东省立第三医院社区服务中心,山东济南250031

出　　处：《广东医学》2020年第13期1340-1343,共4页Guangdong Medical Journal

摘　　要：目的观察分析基于健康宣教与保健的早期干预在脑瘫高危儿中的应用价值及预后随访效果方法选择80例脑瘫高危儿为研究对象,将所有患儿分为两组,即对照组(n=40)与研究组(n=40),其中对照组患儿在4~6个月行常规护理干预,对研究组患儿行基于健康宣教与保健的早期护理干预,比较两种护理模式的应用价值及预后效果:结果研究组患儿在经早期干预后,其语言功能发育通过率、不同时段发育商(DQ)值均高于对照组,且经随访发现研究组患儿大运动、精细运动、适应性评分相比对照组提高,在患儿1岁时,研究组患儿康复率较之对照组更高,两组间对比差异有统计学意义(P<0.05).结论对脑瘫高危儿展开基于健康宣教与保健的早期干预,可提高其语言功能与DQ值,促进患儿尽早康复,实现正常化,其预后效果理想,可在临床中普及应用.Objective To observe the application value and prognostic effect of early intervention based on health education and health care in high-risk infants with cerebral palsy. Methods Eighty high-risk infants with cerebral palsy admitted to our hospital from August 2016 to August 2017 were selected. According to the different intervening time, all the children were divided into two groups, control group(n=40) and research group(n=40). The control group received routine nursing intervention for 4-6 months, and the research group received early nursing intervention based on health education and health care. Results After early intervention, the language function development pass rate and DQ value of the research group were higher than those of the control group;and the follow-up showed that the scores of big movement, fine movement and adaptability of the research group were higher than those of the control group. At the age of 1, the recovery rate of the research group was significantly higher than that of the control group(P<0.05).Conclusion Early intervention based on health education and health care for high-risk infants with cerebral palsy can improve their language function and DQ value, promote their early recovery and achieve normalization. Its prognostic effect is ideal and can be widely used in clinic.

关 键 词：健康宣教 保健 早期干预 脑瘫高危儿 预后随访 

分 类 号：R473.72[医药卫生—护理学] R473.1[医药卫生—临床医学]