个性化发育支持联合家庭干预对极低出生体重儿体格发育、脑功能发育的影响  

Effects of personalized development support combined with family nursing on the physique growth and brain function development in very low birth weight infants

作　　者：马金红[1] 张迪[1] 李梦娇 高媛媛[1] 刘静 李晶 MA Jinhong;ZHANG Di;LI Mengjiao(Department of Neonatology,The First Hodpital of Qinhuangdao City,Hebei,Qinhuangdao 066000,China)

机构地区：[1]河北省秦皇岛市第一医院新生儿科,066000

出　　处：《河北医药》2021年第14期2150-2153,共4页Hebei Medical Journal

基　　金：河北省秦皇岛市科学技术研究与发展计划(编号:201805A164)。

摘　　要：目的探讨个性化发育支持联合家庭护理对极低出生体重儿体格发育、脑功能发育的影响。方法根据随机数字表法将2018年1月至2020年8月收治的极低出生体重儿144例分为2组,每组72例。对照组实施常规发育支持护理,观察组在对照组基础上实施个性化发育支持联合家庭护理模式。比较对照组和观察组患儿的体格发育情况、神经行为测定(NBNA)评分、振幅整合脑电图(aEEG)评分及家属满意度。结果经过干预后,观察组患儿纠正胎龄40周时体格发育指标身长及体重高于对照组差异有统计学意义(P<0.05),头围差异无统计学意义(P>0.05);观察组患儿纠正胎龄40周时NBNA评分正常人数高于对照组,差异有统计学意义(P<0.05);观察组患儿纠正胎龄40周时aEEG评分高于对照组,差异有统计学意义(P<0.05);观察组患儿家属满意度高于对照组,差异有统计学意义(P<0.05)。结论对极低出生体重儿实施个性化发育支持联合家庭护理模式有助于其体格发育,还可促进其脑功能发育,提高家属满意度。Objective To investigate the effects of personalized development support combined with family nursing on the physique growth and brain function development in very low birth weight infants.Methods A total of 144 neonates with very low birth weight who were admitted to our hospital from January 2018 to August 2020 were enrolled in the study,who were divided into control group and observation group according to the random number table method,with 72 cases in each group.The neonates in control group were treated by routine development support nursing,however,the neonates in observation group,on the basis of control group,were treated by personalized development support combined with family nursing.The physical development,neurobehavioral measurement(NBNA)score,amplitude integrated electroencephalogram(aEEG)score and family satisfaction degree were observed and compared between the two groups.Results After intervention,the physical development indexes as well as body length and weight at 40 weeks in observation group were significantly higher than those in control group(P<0.05),however,there was no significant difference in head circumference between the two groups(P>0.05).And the NBNA scores and aEEG scores at 40 weeks in observation group were significantly higher than those in control group(P<0.05).In addition the satisfaction degree of family members in observation group was significantly higher than that in control group(P<0.05).Conclusion The personalized development support combined with family nursing for very low birth weight infants is beneficial to their physical development,which can promote the brain function development of neonates and improve the family satisfaction degree.

关 键 词：极低出生体重儿 发育支持 家庭护理 体格发育 脑功能发育 振幅整合脑电图 

分 类 号：R722.6[医药卫生—儿科]