早期护理对剖宫产新生儿的远期疗效及安全性分析

Long-term Therapeutic Effect and Safety of Early Nursing on Neonates Via Cesarean Section

目的研究早期护理剖宫产新生儿的远期疗效及安全性。方法选择我院2015年3月-2016年3月出生的134例剖宫产新生儿,按照双盲法分为两组。对照组新生儿单纯接受我院新生儿常规护理措施,观察组新生儿在此基础上实施早期护理措施。对比两组新生儿神经行为、及1年后的发育商,出生后并发症情况及远期影响指标。结果出生后30d,观察组新生儿的神经行为评分(1.97±0.5)显著高于对照组(1.65±0.4),差异有统计学意义(P<0.05)。观察组新生儿发生并发症情况显著低于对照组,差异有统计学意义(P<0.05);观察组新生儿远期影响、出生后12个月发育商均显著优于对照组新生儿,差异有统计学意义(P<0.05)。结论针对剖宫产新生儿实施早期护理有助于提高新生儿的健康状况和生活质量,降低并发症的发生率,提高患儿神经及发育商,安全有效,值得临床推广。

Objective To study the long-term therapeutic effect and safety of early nursing on neonates via cesarean section. Methods From Mar. 2015 to Mar. 2016, 134 neonates via cesarean section in our hospital were divided into two groups according to double blind method. Both groups were given routine nursing measures, besides, the observation group was given additional early nursing measures. The neurobehaviors, development quotient 1 year after birth, complications after birth and long-term impact indicators in the two groups were compared. Results 30 d after birth, the neurobehavioral score in the observation group was（1.97±0.5）which was significantly higher than that in the control group（1.65±0.4）, and the difference was statistically significant（P〈0.05）. The incidence rate of neonatal complications in the observation group was significantly lower than in the control group, the difference was statistically significant（P〈0.05）, the long-term impact indicator and developmental quotient 12 months after birth in the observation group were significantly better than those in the control group, the difference was statistically significant（P〈0.05）. Conclusion Early nursing which is safe and effective, can improve the health status and quality of life for neonates via cesarean section, reduce the incidence of complications and improve their nerve development and development quotient. Thus, it is worthy of clinical promotion.