袋鼠式护理联合被动康复训练在新生儿缺氧缺血性脑病中的应用

Application of kangaroo nursing combined with passive rehabilitation training in neonatal hypoxic ischemic encephalopathy

目的:探究袋鼠式护理(Kangaroo mother care,KMC)联合被动康复训练在新生儿缺氧缺血性脑病(Hypoxieischemic encephalopathy,HIE)患儿中的应用效果。方法:选取2020年3月至2021年12月于我院就诊的80例HIE患儿作为研究对象。按随机数字表法分为对照组和观察组,每组各40例。对照组采取常规护理联合被动康复训练,观察组采取KMC联合被动康复训练。分析比较两组的神经行为、神经系统后遗症发生率以及护理满意度。结果:护理后,两组的新生儿神经行为测定量表(Neonatal Behavioral Assessment Scale,NBNA)评分均高于护理前;并且观察组高于对照组(P<0.05)。观察组神经系统后遗症总发生率低于对照组(P<0.05)。观察组患儿家长满意度高于对照组(P<0.05)。结论:KMC联合被动康复训练可改善HIE患儿的神经行为,降低神经系统后遗症发生率,提高患儿家长的满意度。

Objective:To explore the effect of Kangaroo mother care(KMC)combined with passive rehabilitation training on neonatal Hypoxie-ischemic encephalopathy(HIE).Methods:80 patients with HIE who were treated in our hospital from March 2020 to December 2021 were selected as the study objects.They were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group received conventional nursing combined with passive rehabilitation training,and the observation group received KMC combined with passive rehabilitation training.The neurobehavior,incidence of neurological sequelae and nursing satisfaction of the two groups were analyzed and compared.Results:The Neonatal Behavioral Assessment Scale(NBNA)scores of both groups were higher after nursing than before.The observation group was higher than the control group(P<0.05).The total incidence of neurological sequelae in the observation group was lower than that in the control group(P<0.05).The satisfaction of parents in observation group was higher than that in control group(P<0.05).Conclusion:KMC combined with passive rehabilitation training can improve the neurobehavior of HIE children,reduce the incidence of neurological sequelae,and increase the satisfaction of parents.