高压氧舱治疗护理对新生儿缺氧缺血性脑病的临床观察

Clinical Analysis of Hyperbaric Oxygen Therapy in Treatment of Neonate with Hypoxia Ischemic Encephalopathy

目的研究探讨新生儿围产期出现缺氧缺血性脑病的临床护理方法,以及护理效果,为缺氧缺血性脑病新生儿护理提供理论参考依据。方法对我院自2009年12月至2012年12月期间收治的80例缺氧缺血性脑病新生儿的临床资料进行回顾性分析,将其随机分为两组,每组40例,对照组患儿采取常规护理方式;观察组患儿采取在常规护理的基础上,给予患者高压氧舱治疗护理。制定护理效果判定标准,对比两组护理效果,采用SPSS17.0统计分析软件对研究数据进行统计分析。结果观察组患者显效率为77.5%,对照组患者显效率为30.0%,两组显效率存在显著差异,结果具有统计学意义(P<0.05)。观察组患者护理后总有效率为95.0%,对照组患者总有效率为80.0%,两组总有效率存在显著差异,结果具有统计学意义(P<0.05)。结论做好对缺氧缺血性脑病患儿的常规整体护理工作的同时,采用高压氧舱治疗护理方式有力降低患儿的死亡率以及并发症发生率,有效的护理措施是对缺氧缺血性脑病治疗成功的基础保证,值得在新生儿缺氧缺血性脑病临床护理工作中大力推广使用。

Objective To study the clinical nursing methods and its effect on the occurrence of hypoxic- ischemic encephalopathy in perinatal neonates and provide a theoretical basis for dealing with the case. Methods Retrospective analysis was carried out on80 neonatal children with hypoxic- ischemic encephalopathy in our hospital from December 2009 to December 2012. And they were divided into two groups randomly and evenly with 40 patients in each group. Regular care was taken for the control group while hyperbaric oxygen treatment was given to the observation group in addition to the regular treatment. The criteria of nursing were established to compare the effect of two groups. SPSS17. 0 was utilized to analyze the data. Results The efficacy rate of the observation group was 77.5% while the efficacy rate of the control group was 30. 0%,with statistically significant difference（ P〈0. 05）. The post- nursing efficacy rate of the observation group was 95. 0% while the efficacy rate of the control group was 80. 0%,with statistically significant difference（ P〈0. 05）. Conclusion Hyperbaric oxygen therapy care can significantly reduce the mortality and occurrence of complication of the patients. Effective nursing methods can ensure the successful implementation of the treatment of hypoxic- ischemic encephalopathy and it＇ s worth promoting in the clinical practice.