早期康复护理在缺氧缺血性脑病新生儿中的应用

Application of Early Rehabilitation Nursing for Neonates with Hypoxic- Ischemic Encephalopathy

目的探讨早期康复护理在缺氧缺血性脑病新生儿中的应用。方法将2018年1月—2021年12月在本院新生儿科治疗的60例缺氧缺血性脑病(HIE)新生儿随机分为两组,对照组实施常规护理,观察组实施早期康复护理,均护理4周,随访1年,对比两组护理效果。结果观察组在6个月龄、12个月龄的头围、体重、身高均大于对照组(P<0.05);观察组12个月龄时的精细运动、大运动、适应性行为、语言、社交行为等Gesell评分均高于对照组(P<0.05);观察组6个月龄、12个月龄的MDI评分、PDI评分、NBNA评分明显高于对照组(P<0.05)。结论早期康复护理在HIE新生儿中的应用效果显著,能有效改善智力、神经行为等发育,促进体格生长。

Objective To explore application of early rehabilitation nursing for neonates with hypoxic-ischemic encephalopathy.Methods The paper chose 60 neonates with hypoxic-ischemic encephalopathy(HIE)in neonatal department of our hospital from January 2018 to December 2021,and divided them into two groups randomly.Control group was treated with routine nursing,while observation group with early rehabilitation nursing.Both groups were treated with 4 weeks of nursing,followed up for 1 year,nursing effect was compared between two groups.Results Head circumference,weight,and body length of observation group was higher than control group at 6 and 12 months of age(P<0.05).At 12 months of age,Gesell scores of fine motor,gross motor,adaptive behavior,language,and social behavior in observation group were higher than control group(P<0.05).MDI scores,PDI scores,and NBNA scores of observation group at 6 and 12 months of age were significantly higher than control group(P<0.05).Conclusion Early rehabilitation nursing can achieve significant effect for HIE neonates,can improve intelligence,neurobehavioral development and promote physical growth effectively.