母婴同室联合综合干预对重度窒息新生儿体格、智能发育的影响  

The effect of rooming-in combined with comprehensive intervention for the physical and intelligent development of severe neonatal asphyxia

作　　者：卜雷 汪宏玲 BU Lei;WANG Hong-ling(Rizhao Maternal and Child Health Hospital,Rizhao 276800,China)

机构地区：[1]日照市妇幼保健院,276800

出　　处：《中国实用医药》2021年第17期187-191,共5页China Practical Medicine

摘　　要：目的研究母婴同室联合综合干预对于重度窒息新生儿行为体格、智能发育的影响。方法80例重度窒息新生儿,按入院时间随机分为对照组和观察组,每组40例。两组均病情稳定后给予常规治疗及护理,对照组患儿继续新生儿重症监护室(NICU)治疗,母婴分离;观察组由NICU转入新生儿母婴同室病房,父母24 h陪伴,参与治疗与护理,并给予综合干预措施。比较两组患儿出生1个月后的身高、头围、体重增长情况、神经发育情况以及出生3、6个月的体重、身高、头围、智能发育情况。结果观察组患儿出生1个月后的身高、头围和体重增长水平分别为(7.51±1.69)cm、(5.01±1.27)cm、(2.72±1.10)kg均高于对照组的(5.92±1.60)cm、(3.29±1.13)cm、(2.12±0.92)kg,差异有统计学意义(P<0.05)。观察组出生1个月后的原始反射、被动肌张力、主动肌张力、一般反应、行为能力评分明显高于对照组,差异有统计学意义(P<0.05)。观察组患儿出生3、6个月的体重、身高、头围均高于对照组,差异有统计学意义(P<0.05)。观察组患儿出生3、6个月的适应行为、个人社交、精细动作、语言及发育商(DQ)均高于对照组,差异有统计学意义(P<0.05)。结论对重度窒息新生儿给予母婴同室联合综合干预,能够促进其运动、语言、神经、体格等各方面发育,利于重度窒息新生儿健康成长,值得运用及推广。Objective To study the effect of rooming-in combined with comprehensive intervention for physical and intelligent development of severe neonatal asphyxia.Methods A total of 80 cases of severe neonatal asphyxia were divided into control group and observation according to admission time,with 40 cases in each group.Both groups were given routine treatment and nursing after their condition was stable.Children in the control group continued to be treated in the neonatal intensive care unit(NICU)with separation of mother and child;children in the observation group was transferred from NICU to the rooming-in ward,accompanied by their parents for 24 h,participating in treatment and nursing,and given comprehensive intervention measures.The height,head circumference,weight growth,neurodevelopment at 1 month after birth,and the weight,height,head circumference and intelligence development at 3 and 6 months after birth were compared between the two groups.Results The height,head circumference,and weight gain at 1 month after birth in the observation group were(7.51±1.69)cm,(5.01±1.27)cm and(2.72±1.10)kg,respectively,which were higher than(5.92±1.60)cm,(3.29±1.13)cm and(2.12±0.92)kg in the control group,and the difference was statistically significant(P<0.05).The original reflex,passive muscle tone,active muscle tone,general response,behavioral ability score at 1 month after birth of the observation group were obviously higher than those of the control group,and the difference was statistically significant(P<0.05).The weight,height and head circumference at 3 and 6 months of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).The development quotient(DQ)for adaptive behavior,personal social interaction,fine motor,language and grand movement at 3 and 6 months after birth were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Combination of rooming-in and comprehensive intervention can promote th

关 键 词：母婴同室 综合干预 重度窒息新生儿 体格发育 智能发育 

分 类 号：R473.72[医药卫生—护理学]