发育支持性护理对极低出生体重早产儿生长发育的影响  

The Impact of Developmental Supportive Care on the Growth and Development of Extremely Low Birth Weight Premature Infants

作　　者：黄志燕 康淑琴 HUANG Zhiyan;KANG Shuqin(Department of Neonatology,Fujian Quanzhou Maternal and Child Health Hospital·Children's Hospital,Quanzhou 362000,China)

机构地区：[1]福建省泉州市妇幼保健院·儿童医院新生儿科,泉州362000

出　　处：《中国医药指南》2024年第23期172-174,共3页Guide of China Medicine

摘　　要：目的分析发育支持性护理对极低出生体重早产儿生长发育的影响。方法本次试验样本选取新生儿重症监护室收入的极低出生体重早产儿(出生体重低于1500 g),样本录入时间为2022年11月至2023年12月,抽检样本共有72例,应用随机数字表法划分为2个独立小组,观察组、对照组各有36例。对照组实施常规护理,观察组予发育支持性护理,观察两组患儿肠道功能、体格发育及神经行为发育情况。结果统计两组患儿恢复出生体重时间、静脉营养时间,观察组时间均短于对照组(P<0.05)。矫正胎龄40周,以对照组为参照,观察组体重、头围测定数值偏高(P<0.05)。矫正胎龄40周时,采用新生儿神经行为量表评估患儿神经行为方面的发育情况,观察组测定数值处于正常范围的患儿多于对照组(P<0.05)。结论对极低出生体重早产儿实施发育支持性护理具有改善其喂养状况以及促进肠道发育的效果,有利于促进体格以及神经行为发育。Objective To analyze the impact of developmental supportive care on the growth and development of extremely low birth weight premature infants.Methods In this experiment,samples were selected from extremely low birth weight premature infants(born weight less than 1500 g)with income from the neonatal intensive care unit.The sample entry period was from November 2022 to December 2023,and a total of 72 samples were selected.Random number table method was used to divide them into two independent groups,with 36 cases in the observation group and 36 cases in the control group.The control group received routine care,while the observation group received developmental supportive care.The intestinal function,physical development,and neurobehavioral development of the two groups of children were observed.Results The time for recovery of birth weight and intravenous nutrition in both groups of children were statistically analyzed,and the observation group had a shorter time than the control group(P<0.05).Corrected gestational age of 40 weeks,with the control group as the reference,the observation group had higher values in weight and head circumference measurements(P<0.05).At 40 weeks of corrected gestational age,the neurobehavioral development of the children was evaluated using the Neonatal Neurobehavioral Scale.The observation group had more children in the normal range of measured values than the control group(P<0.05).Conclusions Implementing developmental supportive care for extremely low birth weight premature infants has the effect of improving their feeding status and promoting intestinal development,which is beneficial for promoting physical and neurobehavioral development and is worth learning from.

关 键 词：发育支持性护理 极低出生体重早产儿 生长发育 

分 类 号：R179[医药卫生—妇幼卫生保健] R722.1[医药卫生—公共卫生与预防医学] R473.72