早产儿坏死性小肠结肠炎实施护理评估及综合干预的临床效果观察

Clinical effects of nursing evaluation and nursing intervention on preterm infants with necrotic enterocolitis

目的探讨在新生儿坏死性小肠结肠炎(NEC)中实施护理评估及综合干预的临床效果。方法选取2018年3月-2019年3月期间在我院新生儿科确诊为NECⅡ期的早产患儿46例,采用随机数字表法分为观察组和对照组,每组23例。观察组实施护理评估及综合干预,对照组给予常规护理,对2组患儿的护理效果进行系统评估。结果观察组腹胀消失时间、便血消失时间、胃肠道功能恢复正常时间、住院时间和SNAPPE-Ⅱ评分均少于对照组(P<0.05);观察组的临床总有效率为91.30%,对照组为65.22%,差异显著(P<0.05);观察组并发症发生率为4.35%,显著低于对照组的34.78%(P<0.05)。结论早期进行护理评估并及时采取综合干预措施,可有效提高NEC早产患儿的临床治疗效果和生存质量,降低并发症发生率。

Objective To explore the clinical effect of nursing evaluation and nursing intervention in neonatal necrotizing enterocolitis(NEC).Methods From March 2018 to March 2019,46 cases of premature infants diagnosed as NEC II in our neonatal department were selected.The random number table method was used to divide the study subjects into observation group and control group,23 cases in each group.The observation group implemented nursing evaluation and comprehensive nursing intervention measures,and the control group was given routine nursing intervention.After the above nursing interventions,the nursing effects of the two groups of patients were systematically evaluated.Results The time of disappearance of abdominal distension,the time of disappearance of blood in the stool,the time of gastrointestinal function returning to normal,hospitalization time and SNAPPE-Ⅱscore in the observation group were all less than those in the control group(P<0.05);The group was 65.22%,the difference between the two groups was significant(P<0.05);the incidence of complications in the observation group was 4.35%,which was significantly lower than 34.78%in the control group(P<0.05).Conclusion Early nursing evaluation and timely comprehensive nursing intervention can effectively improve the clinical treatment effect and quality of life of NEC preterm infants and reduce the incidence of complications.