早期综合护理干预对新生儿缺氧缺血性脑病患儿的影响(1)
【摘要】 目的：研究早期综合护理干预对新生儿缺氧缺血性脑病患儿的影响。方法：选取90例新生儿缺氧缺血性脑病患儿，随机分为对照组和观察组。对照组采用常规护理，观察组在对照组基础上采用早期综合护理干预。对两组随访12个月，评价智力发育及运动发育等情况。结果：干预6、12个月后，观察组智力发育指数、运动发育指数评分均显著高于对照组(P<0.05);观察组干预12个月后，适应、大运动、精细运动、语言及社交评分均显著高于对照组(P<0.05);观察组神经系统疾病发生率显著低于对照组(P<0.05)。结论：采用早期综合护理干预可有效提高新生儿缺氧缺血性脑病患儿智力及运动发育水平，降低神经系统疾病发生率，对提高患儿生活质量有积极意义。
【关键词】 早期综合护理干预 新生儿缺氧缺血性脑病 神经功能
doi：10.14033/j.cnki.cfmr.2020.17.030 文献标识码 B 文章编号 1674-6805(2020)17-00-03
Effects of Early Comprehensive Nursing Intervention on Hypoxie-ischemic Encephalopathy/LIN Ying， LIN Renqing， HUANG Yanbin. //Chinese and Foreign Medical Research， 2020， 18(17)： -75
[Abstract] Objective： To study the effects of early comprehensive nursing intervention on hypoxie-ischemic encephalopathy. Method： A total of 90 neonates with hypoxie-ischemic encephalopathy were randomly divided into the control group and the observation group. Routine nursing was used in the control group and early comprehensive nursing intervention was used in the observation group. Both groups were followed up for 12 months to evaluate the development of mental and psychomotor. Result： After 6 and 12 months of intervention， the scores of mental development index and psychomotor development index in the observation group were significantly higher than those of the control group (P<0.05). After 12 months of intervention， the scores of adaptation， large motor， fine motor， language and social interaction in the observation group were significantly higher than those of the control group (P<0.05). The incidence of neurological diseases in the observation group was significantly lower than that of the control group (P<0.05). Conclusion： Early comprehensive nursing intervention can effectively improve the levels of mental and psychomotor development of neonates with hypoxie-ischemic encephalopathy， reduce the incidence of neurological diseases. It has positive significance to improve the quality of life of neonates.
[Key words] Early comprehensive nursing intervention Hypoxie-ischemic encephalopathy Neurological function
First-author’s address： Ningde Hospital Affiliated to Fujian Medical University， Ningde 352100， China
新生兒缺氧缺血性脑病(hypoxie-ischemic encephalopathy，HIE)是指在围产期窒息而导致脑的缺氧缺血性损害，临床表现为嗜睡、惊厥、痉挛等症状[1-2]。HIE是导致新生儿脑损伤和引起神经系统后遗症的主要因素，有较高的死亡率[3]。随着医疗水平的提高，HIE死亡率逐年降低，但由HIE导致的神经系统疾病仍不容忽视，脑瘫、智力低下等神经系统功能缺陷可严重影响患儿的生存质量[4-5]。因此，寻找有效途径，改善HIE患儿神经功能十分必要。
研究表明，3岁前的儿童的脑组织处于发育高峰期，积极有效的刺激干预可对神经系统进行重塑，修复损伤的脑组织，进而提高智力发育水平及降低神经系统疾病发生率[6-7]。为分析早期综合护理干预对HIE患儿的影响，特选取2017年1月-2018年12月笔者所在医院收治的90例HIE患儿为研究对象，报道如下。, 百拇医药(林颖 林仁清 黄艳滨)
【关键词】 早期综合护理干预 新生儿缺氧缺血性脑病 神经功能
doi：10.14033/j.cnki.cfmr.2020.17.030 文献标识码 B 文章编号 1674-6805(2020)17-00-03
Effects of Early Comprehensive Nursing Intervention on Hypoxie-ischemic Encephalopathy/LIN Ying， LIN Renqing， HUANG Yanbin. //Chinese and Foreign Medical Research， 2020， 18(17)： -75
[Abstract] Objective： To study the effects of early comprehensive nursing intervention on hypoxie-ischemic encephalopathy. Method： A total of 90 neonates with hypoxie-ischemic encephalopathy were randomly divided into the control group and the observation group. Routine nursing was used in the control group and early comprehensive nursing intervention was used in the observation group. Both groups were followed up for 12 months to evaluate the development of mental and psychomotor. Result： After 6 and 12 months of intervention， the scores of mental development index and psychomotor development index in the observation group were significantly higher than those of the control group (P<0.05). After 12 months of intervention， the scores of adaptation， large motor， fine motor， language and social interaction in the observation group were significantly higher than those of the control group (P<0.05). The incidence of neurological diseases in the observation group was significantly lower than that of the control group (P<0.05). Conclusion： Early comprehensive nursing intervention can effectively improve the levels of mental and psychomotor development of neonates with hypoxie-ischemic encephalopathy， reduce the incidence of neurological diseases. It has positive significance to improve the quality of life of neonates.
[Key words] Early comprehensive nursing intervention Hypoxie-ischemic encephalopathy Neurological function
First-author’s address： Ningde Hospital Affiliated to Fujian Medical University， Ningde 352100， China
新生兒缺氧缺血性脑病(hypoxie-ischemic encephalopathy，HIE)是指在围产期窒息而导致脑的缺氧缺血性损害，临床表现为嗜睡、惊厥、痉挛等症状[1-2]。HIE是导致新生儿脑损伤和引起神经系统后遗症的主要因素，有较高的死亡率[3]。随着医疗水平的提高，HIE死亡率逐年降低，但由HIE导致的神经系统疾病仍不容忽视，脑瘫、智力低下等神经系统功能缺陷可严重影响患儿的生存质量[4-5]。因此，寻找有效途径，改善HIE患儿神经功能十分必要。
研究表明，3岁前的儿童的脑组织处于发育高峰期，积极有效的刺激干预可对神经系统进行重塑，修复损伤的脑组织，进而提高智力发育水平及降低神经系统疾病发生率[6-7]。为分析早期综合护理干预对HIE患儿的影响，特选取2017年1月-2018年12月笔者所在医院收治的90例HIE患儿为研究对象，报道如下。, 百拇医药(林颖 林仁清 黄艳滨)