预见性护理在新生儿缺血缺氧性脑病早期亚低温治疗中的价值及对睡眠质量的影响  

The Value of Predictive Nursing in the Treatment of Early Mild Hypothermia in Neonatal Hypoxic Ischemic Encephalopathy and the Influence of Sleep Quality

作　　者：毕玮怡 BI Weiyi(Gucheng County People′s Hospital,Gucheng 441700,China)

机构地区：[1]谷城县人民医院,谷城441700

出　　处：《世界睡眠医学杂志》2022年第5期878-880,883,共4页World Journal of Sleep Medicine

摘　　要：目的:观察预见性护理在新生儿缺血缺氧性脑病早期亚低温治疗中的应用价值以及对睡眠质量的影响。方法:选取2017年6月至2020年6月谷城县人民医院收治的新生儿缺血缺氧性脑病患儿22例作为研究对象,随机分为观察组和对照组,每组11例。所有患儿均接受早期亚低温治疗,观察组患儿接受预见性护理,对照组患儿接受常规护理。比较2组患儿护理前后的AIS失眠评分、护理效果和并发症发病率。结果:2组患儿护理前的AIS失眠评分、神经学评分比较,差异均无统计学意义(P>0.05)。护理后,观察组患儿的AIS失眠评分更低,所需肌张力恢复时间、原始放射恢复时间、意识障碍恢复时间更短,神经学评分更低,并发症总发生率更低,差异均有统计学意义(均P<0.05)。结论:对接受早期亚低温治疗的新生儿缺血缺氧性脑病患儿行预见性护理,可帮助其保持较稳定的康复状态,对改善其睡眠质量,提升疗效,促进脑功能的恢复,降低智力低下等后遗症发生风险均有重要意义。Objective:To analyze the value of predictive nursing in the treatment of neonatal hypoxic ischemic encephalopathy with mild hypothermia and the influence of sleep quality.Methods:A total of 22 newborns with hypoxic-ischemic encephalopathy treated from June 2017 to June 2020 were selected as the research objects,and all received early mild hypothermia treatment.They were divided into observation group(11 cases,receiving predictive nursing)and control group(11 cases,receiving routine nursing).The AIS insomnia score,nursing effect and complications of the two groups were compared before and after nursing intervention.Results:There was no difference in AIS insomnia score and neurological score between the two groups before intervention(P>0.05).Compared with the control group,the children in the observation group had lower AIS insomnia score,shorter muscle tension recovery time,original radiation recovery time,consciousness disorder recovery time,lower neurological score and lower total incidence of complications after nursing intervention(P<0.05).Conclusion:Predictive nursing for newborns with hypoxic-ischemic encephalopathy treated with early mild hypothermia can help them maintain a stable rehabilitation state,and is of great significance to improve the sleep quality of children,improve the curative effect,promote the recovery of brain function,and reduce the risk of sequelae such as mental retardation.

关 键 词：新生儿 缺血缺氧性脑病 早期亚低温治疗 预见性护理 睡眠质量 

分 类 号：R722[医药卫生—儿科] R473.72[医药卫生—临床医学]