128例新生儿缺氧缺血性脑病的观察与护理

目的:探讨新生儿缺氧缺血性脑病(HIE)的临床观察及护理方法。方法:对我科2009年1月～2011年12月收治的128例HIE患儿进行观察,制订有效的护理措施。结果:本组128例HIE患儿,治愈86例,好转32例,放弃治疗6例,转院4例。结论:通过控制惊厥、减轻脑水肿、降颅内压、纠正缺氧、营养脑细胞、维持血糖正常,加强基础护理,防治并发症,注意保暖和喂养及早期干预等,可以提高HIE患儿的治愈率和好转率,能有效降低新生儿的病死率和致残率。

Objective： To investigate the neonatal hypoxic ischemic encephalopathy （ HIE ） of the clinical observation and nursing. Methods： from January2009 to201 iDecember treated 128patients of HIE were observed, the formulation of effective nursing measures. Results：128patients of HIE.86 cases were cured,32 cases improved,6 cases of giving up treatment, referral in 4 cases. Conclusion： HIE of children with control of convulsions, relieve cerebral edema, lowering intracranial pressure, correction of hypoxia, brain cells to maintain normal glucose nutrition, strengthen the basic nursing, prevention of complications, pay attention to keep warm and feeding and early intervention, can improve the HIE in cure rate and recovery rate. can effectively reduce the neonatal mortality rate and disability rate.