早期护理干预对新生儿缺氧缺血性脑病预后的影响

Effect of Early Nursing Intervention on the Prognosis of Neonates with Hypoxic-ischemic Encephalopathy

目的探讨对患有缺氧缺血性脑病的新生儿采用早期护理干预对其预后的影响。方法本组收集我院2011年6月-2014年6月间接诊的患有缺氧缺血性脑病的160例新生儿进行临床研究,通过随机分组法将其随机分成对照组(80例)与干预组(80例)。对照组80例患儿施行常规护理干预,干预组80例患儿则在常规护理的基础上加用早期护理干预。观察两组患儿护理干预后的智力及运动能力发育情况。结果干预组患儿干预后6个月与12个月时的MDI评分、PDI评分均显著高于对照组(P<0.05),干预组护理干预后12个月时的适应能力、大运动能力、精细运动及语言能力均显著优于对照组(P<0.05)。结论对缺氧缺血性脑病患儿采用早期护理干预有助于促进其智力及运动能力的发育,改善预后。

Objective To study the effect of early nursing intervention on the prognosis of neonates with hypoxic-ischemic encephalopathy. Methods From Jun. 2011 to Jun. 2014, a total of 160 neonates with hypoxic-ischemic encephalopathy who accepted treatment in our hospital were taken as the clinical research objects, and these patients were randomly divided into intervention group（80 cases） and control group（80 cases）. All of these patients were treated with conventional care. Besides, the intervention group received additional early nursing intervention in order to compare their mental and motor development. Results 6 and 12 months after intervention, the MDI and PDI score in the intervention group were significantly higher than those in the control group（P〈0.05）, 12 months after intervention, the adaptive ability, gross motor ability, fine motor and language ability of the intervention group were significantly better than those of the control group（P〈0.05）. Conclusion Early nursing intervention can not only promote the development of intelligence and exercise capacity, but also improve the prognosis of neonates with hypoxic-ischemic encephalopathy.