早期康复护理在缺血缺氧性脑病新生儿中的应用研究

Study on the application of early rehabilitation nursing in neonatal hypoxic ischemic encephalopathy

目的探讨早期康复护理在缺血缺氧性脑病(HIE)新生儿中的应用效果。方法80例新生儿缺血缺氧性脑病患儿,采用随机数字表法分为对照组和早期康复护理组,每组40例。两组均给予常规对症治疗,对照组给予常规护理,早期康复护理组实施早期康复护理。比较两组护理前后智力发育指数、运动发育指数、家属满意度、临床效果、并发症发生情况和住院时间。结果护理前,两组智力发育指数和运动发育指数比较,差异无统计学意义(P>0.05);护理后,两组智力发育指数和运动发育指数均较护理前显著升高,且早期康复护理组智力发育指数和运动发育指数均显著高于对照组,差异具有统计学意义(P<0.05)。早期康复护理组的家属满意度97.50%显著高于对照组的82.50%,差异具有统计学意义(P<0.05)。早期康复护理组治疗总有效率97.50%,显著高于对照组的80.00%,差异具有统计学意义(P<0.05)。早期康复护理组的并发症发生率为2.50%低于对照组的15.00%,住院时间(10.42±1.21)d短于对照组的(15.67±1.55)d,差异具有统计学意义(P<0.05)。结论新生儿缺血缺氧性脑病患儿实施早期康复护理效果确切,可有效促进患儿的运动发育指数、智力发育指数,提高家属满意度,缩短住院时间和减少并发症。

Objective To discuss the practical effect of early rehabilitation nursing in neonatal hypoxic ischemic encephalopathy(HIE).Methods A total of 80 cases of neonatal hypoxic ischemic encephalopathy were divided into control group and early rehabilitation nursing group according to random numerical table,with 40 cases in each group.Both groups received conventional symptomatic treatment.The control group received conventional nursing,and the early rehabilitation nursing group received early rehabilitation nursing.The intellectual development index and motor development index before and after nursing,family satisfaction,clinical effect,occurrence of complications and hospitalization time were compared between the two groups.Results Before nursing,there was no statistically significant difference in intellectual development index and motor development index between the two groups(P>0.05).After nursing,the intellectual development index and motor development index of the two groups were significantly higher than those before nursing,and the early rehabilitation nursing group was significantly higher than the control group.All the difference was statistically significant(P<0.05).The family satisfaction rate 97.50%of early rehabilitation group was significantly higher than 82.50%of the control group,and the difference was statistically significant(P<0.05).The total effective rate 97.50%of early rehabilitation nursing group was significantly higher than 80.00%of the control group,and the difference was statistically significant (P<0.05). The incidence of complications 2.50% of early rehabilitationnursing group was lower than 15.00% of the control group, and hospitalization time (10.42±1.21) d was shorterthan (15.67±1.55) d of the control group. All the difference was statistically significant (P<0.05). ConclusionEarly rehabilitation nursing shows affirmative effect on neonatal hypoxic ischemic encephalopathy, which waseffectively promote the motor development index and intellectual development index, improve family satisfaction,shorten hospitalization time and reduce the occurrence of complications.