早产儿疼痛管理对其远期神经发育、行为及社会情感的影响观察

Observation on the effects of pain management of premature infants on their long-term neurodevelopment,behavior and social emotion

目的 探讨疼痛管理对早产儿远期神经发育、行为及社会情感的影响。方法 选择2019年1月至2020年1月于我院出生的早产儿共160例,根据护理方法的不同,将所有早产儿分为观察组、对照组2组,每组80例。对照组患儿接受常规护理,观察组在对照组的基础上介入疼痛管理,比较两组早产儿1月龄、6月龄、12月龄时的基本发育情况,神经行为发育(婴幼儿智能综合Gesell发育量表)以及社会情感(婴幼儿社会情感ASQ:SE发育量表)。结果6月龄时以及12月龄时,观察组身长、体质量、头围均明显高于对照组(P<0.05)。6月龄时、12月龄时,观察组粗大运动能力、解决问题能力、个人-社会能力以及言语沟通能力评分均明显高于对照组(P<0.05)。12月龄时,观察组ASQ:SE评分明显高于对照组,ASQ:SE得分>0分例数明显低于对照组(P<0.05)。结论 疼痛管理可有效改善早产儿神经行为、社会情感以及机体生长发育的迟滞现象,具备良好的远期干预效果。

Objective To investigate the effect of pain management on long-term neurodevelopment,behavior and social emotion in preterm infants.Methods A total of 160 premature babies born in our hospital from January 2019 to January 2020 were selected.According to different nursing methods,all premature babies were divided into observation group and control group,80 cases in each group.Children in the control group received routine care.The observation group was involved in pain management on the basis of the control group.The basic development and neurobehavioral development(infant and child intelligence synthesis Gesell development scale,GDS) of the two groups of premature infants at 1 month,6 months,and 12 months were compared,and social emotions(infant and child social emotion ASQ:SE development scale,ASQ:SE).Results At age of 6 months and 12 months,the length and weight of the observation group and head circumference were significantly higher than that in the control group(P<0.05).At age of 6 months and 12 months,the observation group’s gross motor ability,problem solving ability,personal-social ability and verbal communication ability scores were significantly higher than those in the control group(P<0.05).At the age of 12 months,the observation group ASQ:SE score is significantly higher than the control group,ASQ:SE score> 0 points The number of cases is significantly lower than the control group(P<0.05).Conclusion Pain management can effectively improve the neurobehavioral,social emotion and growth retardation of premature infants,and has a good long-term intervention effect.