早期综合护理干预对缺氧缺血性脑病患儿生长发育的影响

The influence of early comprehensive nursing interventionon child growth and development in hypoxic-ischemic encephalopathy children

目的探讨早期综合护理干预对缺氧缺血性脑病患者生长发育的影响。方法选择我院2010-03-2013-03收治的缺血缺氧性脑病患儿102例,按照护理方式的不同分为实验组及对照组,对照组予以综合常规治疗及护理,实验组在此基础上予以抚触护理,视、听刺激护理,比较2组患儿不同时间点的发育商,以及12月龄时的体质量、身长、头围以及NBNA。结果实验组患儿在3月龄、5月龄、8月龄、12月龄时发育商均较相同月龄的对照组明显增高(P<0.05);2组患儿体质量、身长、头围在12月龄时差异无统计学意义(P>0.05);实验组患儿NBNA较对照组显著提高(P<0.05)。结论早期行综合护理干预能有效提高缺氧缺血性脑病患儿的智力发育,对改善缺氧缺血性脑病患儿的预后具有积极的意义。

Objective To explore the influence of early comprehensive nursing intervention on child growth and develop- ment in hypoxic-ischemic encephalopathy. Methods A total of 102 cases of hypoxic-ischemic encephalopathy in our hospital from March 2010 to March 2013 were selected and divided into experimental group and control group according to different ways of nursing. Children in the control group received comprehensive routine treatment and nursing, the experimental group received massage nursing and visual-auditory stimulation nursing on the basis of control group. Then the development quotient （DQ） at different time points and the body mass, body length, head circumference and NBNA at 12 months old of two groups were comparatively observed. Results Compared with the control group, the experimental group showed higher value of DQ at 3-, 5-, 8- and 12-month old （P〈0.05） ; No significant differences were found between two groups in terms of the body mass, body length and head circumference （P〉0.05） ; the NBNA of experimental group was significantly increased than that of the control group（P〈0.05）. Conclusion The early comprehensive nursing intervention can effectively improve mental develop- ment in hypoxic-ischemic encephalopathy children, and can have a positive effect on improving the prognosis of the disease.