精细化护理对早产儿生长发育及相关并发症的影响  

The Impact of Refined Nursing on the Growth and Development of Premature Infants and Related Complications

作　　者：任泓萍 巩素珍 张红菊 REN Hongping;GONG Suzhen;ZHANG Hongju(Department of No.3 Orthopaedics,The First People's Hospital of Longnan,Longnan 746000,China;Department of Neonatal,The First People's Hospital of Longnan,Longnan 746000,China)

机构地区：[1]陇南市第一人民医院骨三科,陇南746000 [2]陇南市第一人民医院新生儿科,陇南746000

出　　处：《中国医药指南》2024年第23期38-41,共4页Guide of China Medicine

摘　　要：目的观察精细化护理干预对早产儿生长发育指标及并发症的影响。方法前瞻性对照试验,早产儿均来源于陇南市第一人民医院2021年1月至2023年12月,以随机数字表法将100例早产儿均等分组,每组50例,对照组行常规护理,观察组行精细化护理,对比两组早产儿体格发育指标、智力发育(MDI)、运动发育(PDI)、神经行为(NBNA)指标、营养学指标及早产儿并发症发生率。结果出生时两组早产儿头围、体重、身长指标比较P>0.05,干预后1个月观察组头围、体重、身长指标均高于对照组(P<0.05);两组MDI、PDI、NBNA评分在干预前的差异无统计学意义(P>0.05),干预后观察组MDI、PDI、NBNA评分较干预前提升,且高于对照组(P<0.05);两组白蛋白、前白蛋白及球蛋白干预前对比差异无统计学意义(P>0.05),干预后观察组白蛋白、前白蛋白及球蛋白较干预前提升,且高于对照组(P<0.05);观察组早产儿并发症发生率低于对照组(P<0.05)。结论精细化护理可改善早产儿生长发育指标、营养学指标,促进智力、运动及神经功能改善,减少相关并发症的发生。Objective To conduct refined nursing interventions for premature infants and observe their effects on growth and development indicators and complications.Methods A prospective controlled trial was conducted,all premature infants were from the First People's Hospital of Longnan City from January 2021 to December 2023.100 premature infants were randomly divided into equal groups using a random number table method,n=50.The control group received routine care,while the observation group received refined care.The physical development indicators,intellectual development(MDI),motor development(PDI),neurobehavioral(NBNA)indicators,nutritional indicators,and incidence of premature infant complications were compared between the two groups.Results The comparison of head circumference,body weight,and height indicators of preterm infants at birth in two groups showed no difference(P>0.05).After one month of intervention,the observation group was higher than the control group(P<0.05).The difference in MDI,PDI,and NBNA scores between the two groups before intervention was not statistically(P>0.05).After intervention,the MDI,PDI,and NBNA scores in the observation group improved,and were higher than those in the control group(P<0.05);There was no statistically difference between the two groups of albumin,prealbumin,and globulin before intervention(P>0.05).After intervention,the observation group showed a improvement in albumin,prealbumin,and globulin,which was higher than the control group,the difference between the groups was statistically(P<0.05);The incidence of complications in premature infants in the observation group was lower than that in the control group(P<0.05).Conclusions Fine nursing can improve the growth and development indicators,nutritional indicators of premature infants,promote intellectual,motor,and neurological function improvement,and reduce the occurrence of related complications.

关 键 词：精细化护理 早产儿 生长发育 营养学指标 神经行为 并发症 

分 类 号：R722.1[医药卫生—儿科] R473.72[医药卫生—临床医学]