循证证据下预警、抚触护理联合亚低温干预对HIE患儿智力发育和神经功能的影响  

Effect of early Warning,Touch Nursing combined with mild Hypothermia Intervention on Intelligence Development and neurological Function of HIE Children under evidence-based Evidence

作　　者：张娜[1] ZHANG Na(Newborn intensive-care unit,Zhoukou Central Hospital,Zhoukou Henan 466000,China)

机构地区：[1]周口市中心医院新生儿重症监护室,河南周口466000

出　　处：《临床研究》2023年第3期171-174,共4页Clinical Research

摘　　要：目的探讨循证证据下预警、抚触护理联合亚低温干预对新生儿缺氧缺血性脑病(HIE)患儿智力发育和神经功能的影响。方法选取2020年1月至2021年1月周口市中心医院收入新生儿缺氧缺血性脑病(HIE)患儿78例,按照随机数字表法分为观察组与对照组各39例,其中观察组给予循证证据下预警、抚触护理联合亚低温干预,对照组给予常规护理+亚低温干预,两组患儿均干预6个月,干预结束后,比较两组患儿干预前后智力发育情况[智力发育指数(MDI)]、运动功能发育情况[运动发育指数(PDI)]、神经功能发育情况[新生儿行为神经测定(NBNA)量表]及生长发育指标(身高、体质量、每日摄入奶量)变化,观察两组患儿干预期间不良后遗症发生情况差异,并比较两组患儿干预后症状改善时间差异。结果两组患儿干预后MDI、PDI评分均高于本组干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组患儿干预后原始反射、一般反射、被动肌张力、主动肌张力、行为能力各项NBNA评分均高于同组干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组患儿干预后身高、体质量、每日摄入奶量等各项生长发育指标均优于同组干预前,且观察组优于对照组,差异有统计学意义(P<0.05)。两组患儿干预期间不良后遗症发生率比较,差异无统计学意义(P>0.05)。观察组患儿肌张力恢复、反射恢复、惊厥改善、意识恢复、吮吸恢复改善时间均短于对照组,差异有统计学意义(P<0.05)。结论在HIE患儿中应用循证证据下预警、抚触护理联合亚低温干预可有效改善患儿生长发育,改善智力、运动及神经功能,加快症状改善及预后转归。Objective To explore the effect of early warning,touch nursing combined with mild hypothermia intervention on intellectual development and neurological function of neonates with hypoxic-ischemic encephalopathy(HIE)under evidencebased evidence.Methods A total of 78 neonates with HIE from January 2020 to January 2021 in Zhoukou Central Hospital were randomly divided into the observation group and the control group with 39 patients in each group according to the random number table.The observation group was given evidence-based early warning,touch nursing and mild hypothermia intervention,and the control group was given routine nursing and mild hypothermia intervention.The two groups were both intervened for 6 months.After the intervention,intellectual development[mental development index(MDI)],motor function development[psychomotor development index(PDI)],neurological development[neonatal behavioral neurological assessment(NBNA)scale]and growth and development indicators(height,body mass index,daily milk intake)change before and after the intervention between the two groups were compared,the difference of adverse sequelae between the two groups was observed,and the time difference of symptom improvement was compared between the two groups after intervention.Results After intervention,the scores of MDI and PDI in the two groups were higher than those before intervention,and the observation group was higher than those in the control group,the difference was statistically significant(P<0.05).After intervention,the NBNA scores of primary refiex,general refiex,passive muscle tension,active muscle tension and behavioral ability of children in the two groups were higher than those in the same group before intervention,and the observation group was higher than those in the control group,the difference was statistically significant(P<0.05).After the intervention,the height,body mass index,daily intake of milk and other growth and development indicators of the two groups were better than those of the same group before the in

关 键 词：循证证据 预警、抚触护理 亚低温干预 新生儿缺氧缺血性脑病 

分 类 号：R473.72[医药卫生—护理学]