健康教育联合口腔运动指导对脑瘫高危儿的影响

Influence of health education combined with oral exercise guidance for high-risk infants with cerebral palsy

目的探讨健康教育联合口腔运动指导对脑瘫高危儿的影响。方法回顾性分析2013年1月~2015年2月陕西省汉中市三二〇一医院收治的脑瘫高危儿212例的临床资料,依据护理措施不同进行分组,对照组（常规护理）100例,观察组（健康教育联合口腔运动指导）112例。观察两组脑瘫高危儿护理前后进餐时间固定、进餐地点固定、进餐环境安静、强迫喂食行为、言语性鼓励和情感交流评分和运动发育水平、智能发育水平评分,记录两组脑瘫高危儿运动落后、精神发育迟缓、脑瘫的发生率。结果两组护理前进餐时间固定、进餐地点固定、进餐环境安静、强迫喂食行为、言语性鼓励和情感交流评分和运动发育水平、智能发育水平评分比较,差异均无统计学意义（P〉0.05）,护理后两组患儿上述各项评分均显著高于护理前,且观察组明显高于对照组,差异均有统计学意义（P〈0.05）。观察组运动落后、精神发育迟缓、脑瘫的发生率均显著低于对照组,差异均有统计学意义（P〈0.05）。结论健康教育联合口腔运动指导可以提高脑瘫高危儿喂养行为评分,改善脑瘫高危儿运动发育、智能发育,降低不良事件发生率,值得临床推广应用。

Objective To investigate the influence of health education combined with oral exercise guidance for highrisk infants with cerebral palsy. Methods The clinical data of 212 cases of high-risk infants with cerebral palsy in3201 Hospital of Hanzhong City from January 2013 to February 2015 was analyzed retrospectively, they were divided into two groups by different nursing intervention, with 100 cases in control group（routine nursing） and 112 cases in observation group（health education compared with oral exercise guidance）. The mealtimes fixed, eating place fixed, dining environment quiet, forced feeding behavior, encourage verbal and affective interaction score, motor development level score, smart growth level score of two groups before and after nursing were observed. The movement behind, mental retardation, cerebral palsy rate of two groups were recorded. Results The mealtimes fixed, eating place fixed, dining environment quiet, forced feeding behavior, encourage verbal and affective interaction score, motor development level score, smart growth level score of two groups before nursing had no significant differences（P〈0.05）, the scores above of two groups after nursing were higher than those before nursing, and the observation group was higher than the control group, the differences were statistically significant（P〈0.05）. The incidence of movement falling behind, mental retardation, cerebral palsy of observation group was lower than the control group, the differences were statistically significant（P〈0.05）. Conclusion Health education combined with oral exercise guidance can increase the feeding behavior score of high-risk infants with cerebral palsy, improve the motor development, smart growth of high-risk infants with cerebral palsy, decrease the incidence of adverse events, which is worthy of clinical promotion and application.