早期综合护理干预在促进新生儿HIE智力发育中的效果研究

The effect of early comprehensive nursing intervention in promoting development of intelligence of neonatal HIE

目的探讨早期综合护理干预在促进新生儿缺氧缺血性脑病(HIE)智力发育中的效果。方法采用随机数字表法将79例HIE患儿分为对照组(n=39,予以常规药物治疗及护理)和观察组(n=40,在对照组基础上进行早期综合护理干预),比较2组患儿3个月、6个月、12个月、18个月的智力和运动发育情况以及18个月后身高、体质量、新生儿NBNA评分差异。结果 2组患儿18个月后身高、体质量增长比较差异无统计学意义;观察组患儿NBNA评分以及在6、12、18个月龄时的智力和运动发育指数显著高于对照组(P<0.05)。结论对HIE患儿及早进行运动、视听觉训练、水疗法、抚触等综合护理干预,可以提高患儿智力及运动发育水平,改善预后。

Objective To investigate the effect of early comprehensive nursing intervention in promoting intelligence development of neonatal HIE.Method 79 HIE patients were divided in-to control group （n=39）who were given routine drug treatment and nursing and observation group （n =40）who were given early comprehensive nursing intervention on the basis of the con-trol group,intelligence and motor development in March,June,December and the 18 month. Meanwhile,the height,weight,neonatal of NBNA score were compared after18 months between two groups.Results After 18 months,there were no significant difference in height and weight between two groups;NBNA score of was intelligence and motor development in 6,12 and 18 months in the observation group was significantly higher than control group （P 〈 0.05）.Conclu-sion Early exercise,visual and auditory training,water therapy,massage and other comprehen-sive nursing intervention for HIE children can improve the mental and physical development and improve the prognosis.