多元化护理对新生儿窒息后心肌损伤患儿的影响  

Influence of Diversified Nursing on Infants with Myocardial Injury After Neonatal Asphyxia

作　　者：杜静烨 吴辉 韩亮[1] 马莹[2] DU Jingye;WU Hui;HAN Liang;MA Ying(Department of Rehabilitation Medicine,Children’s Hospital Affiliated to Zhengzhou University/Henan Children’s Hospital Zhengzhou Children’s Hospital,Zhengzhou 450018,China;Emergency General Ward,Children’s Hospital Affiliated to Zhengzhou University/Henan Children’s Hospital Zhengzhou Children’s Hospital,Zhengzhou 450018,China;Department of Rehabilitation Medicine and Physical Therapy,Armed Police Hospital of Henan,Zhengzhou 450052,China)

机构地区：[1]郑州大学附属儿童医院/河南省儿童医院郑州儿童医院康复医学科,河南郑州450018 [2]郑州大学附属儿童医院/河南省儿童医院郑州儿童医院急诊综合病房,河南郑州450018 [3]中国人民武装警察部队河南省总队医院康复医学与理疗科,河南郑州450052

出　　处：《河南医学研究》2024年第16期3063-3066,共4页Henan Medical Research

基　　金：2022年度河南省医学科技攻关计划联合共建项目(LHGJ20220754)。

摘　　要：目的观察多元化护理对新生儿窒息后心肌损伤患儿的影响。方法选取2021年8月至2022年8月就诊于郑州大学附属儿童医院的70例新生儿窒息后心肌损伤患儿,抽签法分组。对照组35例患儿接受常规护理,试验组35例患儿接受多元化护理。观察和对比两组护理效果。结果护理前心肌损伤指标及新生儿行为神经测定量表(NBNA)评分组间差异无统计学意义(P>0.05);护理后两组血清肌酸激酶同工酶MB(CK-MB)、心肌肌钙蛋白T(cTnT)水平均降低,NBNA评分升高,试验组CK-MB、cTnT水平低于对照组,NBNA评分高于对照组(P<0.05)。与对照组对比,试验组并发症总发生率更低,患儿家长护理满意度更高(P<0.05)。结论对新生儿窒息后心肌损伤患儿进行多元化护理效果较好,可有效缓解患儿心肌损伤,促进神经发育,减少并发症的发生,提高家属满意度。Objective To observe the influence of diversified nursing on infants with myocardial injury after neonatal asphyxia.Methods A total of 70 infants with myocardial injury after neonatal asphyxia admitted to the Children’s Hospital Affiliated to Zhengzhou University from August 2021 to August 2022 were selected.The group was divided by drawing lots.The control group of 35 children received routine nursing,and the experimental group of 35 children received diversified nursing.The nursing effect of the two groups was observed and compared.Results There were no statistical differences in myocardial injury indexes and neonatal behavioral neurological assessment(NBNA)scores between the two groups before nursing(P>0.05).After nursing,the levels of serum creatine kinase-MB(CK-MB)and cardiac troponin T(cTnT)were decreased in both groups,while the NBNA score was increased.The levels of CK-MB and cTnT in experimental group were lower than those in control group,and the NBNA score was higher than that in control group(P<0.05).The total complication rate of experimental group was lower than that of control group(P<0.05).Compared with the control group,the parental nursing satisfaction in experimental group was higher(P<0.05).Conclusion Diversified nursing for infants with myocardial injury after neonatal asphyxia is effective,which could effectively alleviate myocardial injury,promote neurological development,reduce complications,and improve parents’satisfaction.

关 键 词：新生儿窒息 心肌损伤 多元化护理 

分 类 号：R473.72[医药卫生—护理学]