婴儿体位评估工具在低体重早产儿中的应用及效果分析  

Application and Effect Analysis of Infant Posture Assessment Tool in Low Birth Weight Premature Infants

作　　者：张静 项旦丹 陈琼 陈芳芳 ZHANG Jing;XIANG Dan-dan;CHEN Qiong;CHEN Fang-fang(The Second Affiliated Hospital and Yuying Children's Hospital of WMU)

机构地区：[1]温州医科大学附属第二医院

出　　处：《医院管理论坛》2023年第5期32-35,31,共5页Hospital Management Forum

摘　　要：目的 探讨婴儿体位评估工具(IPAT)在低出生体重早产儿中的应用及效果。方法 以2021年1—12月在我院NICU住院的低出生体重早产儿为对照组,以2022年1—12月住院早产儿为试验组。对照组实施鸟巢式护理,试验组在对照组基础上使用IPAT指导体位摆放。比较两组患儿生长发育、新生儿行为神经测定(NBNA)、非骨缝闭合性头颅畸形和合并症的发生率。结果 试验组患儿全肠内营养时间和住院时间明显低于对照组(p<0.05);出院时NABA得分、纠正胎龄40周时的体重和头围明显高于对照组(p<0.05)。试验组患儿头颅畸形发生率明显低于对照组(p<0.05)。结论 在鸟巢式护理基础上对早产儿行IPAT体位干预,可缩短其全肠内营养时间,促进生长发育和行为神经发育,减少住院时间和头颅畸形的发生率。Objective To explore the application and effect of infant posture assessment tool(IPAT) in low birth weight premature infants. Methods The low birth weight premature infants hospitalized in NICU of our hospital from January to December, 2021 were taken as the control group, and the premature infants hospitalized from January to December, 2022 were taken as the experimental group. The control group implemented bird's nest nursing, and the experimental group used IPAT to guide the body position on the basis of the control group. The growth and development of infants, neonatal behavioral neurological assessment(NBNA), the incidence of non-closed cranial malformation and complications were compared between the two groups. Results The total enteral nutrition time and hospitalization time in the experimental group were significantly lower than those in the control group(p0.05). NABA score at discharge, weight at 40 weeks after gestational age correction and head circumference were significantly higher than those in the control group(p0.05). The incidence of head deformity in the experimental group was significantly lower than that in the control group(p0.05). Conclusion IPAT postural intervention on premature infants based on bird's nest nursing can shorten the total enteral nutrition time, promote the growth and development of behavioral nerves, and reduce the hospitalization time and the incidence of cranial malformation.

关 键 词：体位评估 低出生体重早产儿 行为神经发育 头颅畸形 

分 类 号：R197.3[医药卫生—卫生事业管理]