综合护理对新生儿缺血缺氧性脑病高压氧治疗的疗效观察

Effect of Comprehensive Nursing on Hyperbaric Oxygen Therapy for Neonatal Hypoxic Ischemic Encephalopathy

目的探究新生儿缺血缺氧性脑病高压氧治疗在使用综合护理后的效果。方法研究对象为2014年6月—2015年6月收入的80例新生儿缺血缺氧性脑病接受高压氧治疗的患儿,用随机排列表法分成观察组与对照组,40例观察组采用综合护理,另40例对照组采用常规护理。比较两组患儿实施不同护理对护理满意度、体质量、身高、神经系统后遗症的影响。结果观察组护理满意度97.50%,高于对照组82.50%(χ~2=12.500,P<0.05),观察组2年后体质量、身高均高于对照组(t=9.507、4.269,P<0.05);对照组神经系统后遗症发生率15.00%,高于观察组的2.50%(χ~2=9.785,P<0.05)。结论将综合护理应用于新生儿缺血缺氧性脑病高压氧治疗患儿,不仅能降低神经系统后遗症发生率,改善生长发育,还能提升护理满意度。

Objective To explore the effect of hyperbaric oxygen therapy on neonatal hypoxic ischemic encephalopathy after comprehensive nursing care. Methods From June 2014 to June 2015, 80 neonates with hypoxic ischemic encephalopathy who received hyperbaric oxygen therapy were randomly divided into observation group and control group, 40 cases in observation group were treated with comprehensive nursing, and the other 40 cases in control group were treated with routine nursing care. Nursing care satisfaction, body mass, height, neurological sequelae of two groups of children were compared. Results The nursing satisfaction of the observation group was 97.50%, which was higher than that of the control group 82.50%（χ^2=12.500, P〈0.05）, after 2 years, the body weight, height in the observation group were higher than the control group（t=9.507, 4.269, P〈0.05）; the incidence of neurological sequelae in the control group was 15.00%, which was higher than that of the observation group（2.50%）（χ^2=9.785, P〈0.05）. Conclusion The application of comprehensive nursing in neonates with hypoxic ischemic encephalopathy hyperbaric oxygen treatment can not only reduce the incidence of neurological sequelae, improve the growth and development, but also improve the nursing satisfaction.