延续护理对低出生体质量早产儿生长发育的影响

The Effect of Continuous Nursing on the Growth and Development of Low Birth Weight Premature Infants

目的探讨延续护理对低出生体质量早产儿(low birth weight premature infant,LBWI)生长发育的影响。方法选取医院2017年1月—2019年6月本科室收治的74例LBWI作为研究对象,随机数字表法分为观察组和对照组,每组37例。两组早产儿均给予常规护理,观察组外加延续护理。比较两组早产儿的生长发育情况、神经系统发育状况和生化指标的变化情况。结果1、3、6、9、12个月观察组早产儿体质量、身长均高于对照组(P<0.05)。1、3、6、9、12个月观察组早产儿交往、适应性、语言、精细动作、大运动评分均高于对照组(P<0.05)。1、3个月两组早产儿血红蛋白和碱性磷酸酶水平比较差异无统计学意义(P>0.05),6、9、12个月观察组早产儿血红蛋白和碱性磷酸酶水平均高于对照组(P<0.05)。结论延续护理明显促进LBWI的生长和神经系统发育,改善贫血,有利于骨骼发育。

Objective To explore the effect of continued nursing on the growth and development of low birth weight premature infants(LBWI).Methods A total of 74 LBWI cases admitted to the undergraduate room of our hospital from January 2017 to June 2019 were selected as the research objects.They were divided into observation group and control group by random number table,with 37 cases in each group.Both groups of premature infants were given routine care,and the observation group was given continuous care.The growth and development,the development of the nervous system and the changes in biochemical indicators of the two groups of premature infants were compared.Results The weight and length of premature infants in the observation group at 1,3,6,9,and 12 months were higher than those in the control group(P<0.05).The scores of communication,adaptability,language,fine motor and grand motor in the observation group of 1,3,6,9,and 12 months were higher than those of the control group(P<0.05).There was no significant difference in the levels of hemoglobin and alkaline phosphatase between the two groups of preterm infants at 1,3 months(P>0.05).The levels of hemoglobin and alkaline phosphatase in the observation group at 6,9,and 12 months were higher than those of the control group(P<0.05).Conclusion Continued nursing care significantly promoted LBWI growth and nervous system development,improved anemia,and was beneficial to bone development.