新生儿缺氧缺血性脑病的早期综合干预及康复治疗的疗效观察

Neonatal Hypoxic Ischemic Encephalopathy and Observe the Effect of the Early Comprehensive Intervention and Rehabilitation Therapy

目的探究早期综合性护理干预对新生儿缺氧缺血性脑病康复的效果。方法缺氧缺血性脑病新生儿60例,随机分为两组,每各30例。对照组给予常规治疗,实验组在常规治疗的基础上加用早期护理干预与康复治疗。观察两组患儿治疗后6、12、18个月的治疗效果。应用SPSS18.0软件,所获数据采用方差分析、t检验和2检验。结果两组运动功能、语言功能、精神行为6、12、18个月组间与不同时段比较,P均>0.05。两组社交行为6、12、18个月组间与不同时段比较,实验组6个月与12个月比较,P>0.05;12个月与18个月比较,P<0.001;6个月与18个月比较,P<0.0005;对照组6个月与12个月比较,P<0.005;12个月与18个月比较,P>0.05;6个月与18个月比较,P<0.0005;实验组与对照组不同时段比较,6个月时,P<0.0005,12个月时,P<0.001;18个月时,P<0.0005。伤残患儿实验组出现1例,占3.33%;对照组5例,占16.67%。两组从百分比上看差异明显,但由于样本较小,无显著性差异。实验组家长满意26例,占86.67%。对照组家长满意16例,占53.33%。家长满意比较,P<0.005。结论早期综合干预和康复治疗对新生儿缺氧缺血性脑病的运动功能、语言功能、精神行为影响不大,对社交行为影响较大。

Objective To explore the early comprehensive nursing intervention on the effect of neonatal hypoxic isch- emic encephalopathy rehabilitation. Methods Neonatal hypoxic ischemic encephalopathy 60 cases, were randomly divided into two groups. Each 30 cases each. The control group in the conventional treatment, the experimental group on the basis of conventional treatment combined with early nursing intervention and rehabilitation. Observe two groups of children after treatment 6, 12, 18 months of treatment effect. SPSS18.0 application software, the data obtained using analysis of variance, t test and Z2 test. Results Two groups of movement function and language function, mental behavior between group 6, 12, 18 months compared with different times, P〉0.05. Two groups of social behavior between group 6, 12, 18 months compared with different time, the experimental group within 6 months and 12 months is, P〉0.05; 12 months and 18 months is, P〈0.001; 6 months compared with 18 months, P〈 0.0005. Control group within 6 months and 12 months is, P 〈 0.005. 12 months and 18 months is, P 〉 0.05.6 months compared with 18 months, P〈0.0005. The experimental group compared with control group in different time, when 6 months, P〈0.0005, when 12 months, P〈0.001; when 18 months, P〈 0.0005. Disabled patients group in 1 case （3.33%）. The control group in 5 cases, accounting for 16.67%. Look from the percentage difference to be markedly in both groups, but due to the small sample, there was no significant difference. Experimental parents satisfied with 26 cases, accounting for 86.67%. Control group parent satisfaction in 16 cases, accounting for 53.33%. Parents satisfaction compared, P〈0.005. Conclusion Early comprehensive intervention and rehabilitation treatment of neonatal hypoxic ischemic encepha- lopathy movement, language, spirit, behavior, larger influence on social behavior.