新生儿缺氧缺血性脑病采用护理康复路径的临床效果

Clinical evaluation of rehabilitation path for nursing neonatal hypoxic-ischemic encephalopathy

目的:探讨护理康复路径在新生儿缺氧缺血性脑病(HIE)中的应用效果。方法:将HIE患儿122例随机分为对照组58例和观察组64例。对照组采取常规护理方式至出院,治疗组在对照组基础上采用护理康复路径进行住院期间。治疗前及治疗后1、3、6个月分别对2组患儿进行神经行为、运动及智力发育指数测定。结果:2组治疗后神经行为、运动发育指数、智力发育指数1、3、6个月较治疗前均有显著改善(P<0.01),观察组治疗后1、3、6个月均较对照组改善显著(P<0.01)。结论:护理康复路径可有效促进HIE患儿脑神经的恢复,并对运动功能恢复及智力发育有积极作用。

Objective： To investigate the efficacy of the rehabilitation path in nursing neonatal hypoxic-ischemic encephalopathy （HIE）. Methods ： One hundred and twenty-two neonates with HIE were randomly divided into the control and observation group. The control group were nursed by conventional way until discharge, the treatment group were nursed by rehabilitation path based on the control group during hospitalization and after discharge. The neurobehavior, movement and the index of mental development of two groups were measured in 1,3 and 6 months before and after treatment. Results：The neurobehavior, movement and the index of mental development of two groups were significantly improved in 1,3 and 6 months after treatment （P 〈 0.01 ）. Compared with the control group,the neurobehavior, movement and the index of mental development of the observation group showed better improvement in 1, 3 and 6 months after treatment（ P 〈 0.01 ）. Conclusions：Rehabilitation path nursing can effectively promote the cranial nerves recovery of children with HIE, and play active roles on the recovery of their motion and intelligence development.