护理干预对新生儿缺血缺氧性脑病治疗效果的影响.docVIP

护理干预对新生儿缺血缺氧性脑病治疗效果的影响 叶小红 浙江泰顺县人民医院儿科 [摘要]目的：探讨护理干预对新生儿缺血缺氧性脑病治疗效果的影响。方法：将我院2001年1月至2008年8月收治的156例新生儿缺血缺氧性脑病患儿随机分为观察组和对照组，对照组给予常规护理治疗，观察组在常规护理治疗的基础上给予护理干预，比较两组疗效。结果：Gesell智育检测观察组在运动、语言、适应能力及社交能力方面均优于观察组（P0.05）；智能量表测定DQ值结果在3月、6月、12月观察组明显高于对照组(P0.05)；对照组不良反应发生率高于观察组(P0.05)。结论：护理干预可以促进HIE患儿智力发育、改善患儿预后、提高患儿生存质量。 [关键词]新生儿缺血缺氧性脑病；护理干预；预后 Effect of nursing intervention on the therapy of hypoxic ischemic encephalopathy in neonates [Abstract]Objective: To explore the effect of nursing intervention on the therapy of hypoxic ischemic encephalopathy in neonates. Method: From January 2001 to August 2008，158 patients were enrolled and randomly divided into the study group(n=78) and the control group(n=78). The control group was carried out in the way of the routine care，the study group had been provided the nursing intervention on the basis of the routine care . Therapeutic effect had been compared. Result: The movement，language, adaptive faculty, social intercourse capability of Gesell intellectual education detection in the study group were significantly better than the control group（P0.05）. The DQ of intelligence measuring scale on March, June and December in the control group were significantly lower than the study group（P0.05）.The incidence rate of adverse effect in the study group were significantly lower than the control group. Conclusion: Nursing intervention could promote the intellectual development of newborn infants with HIE, improve the prognosis and elevate the survival quality. [Key words] Hypoxic ischemic encephalopathy；Neonates ；Nursing intervention；Prognosis 新生儿缺血缺氧性脑病( hypoxic ischemic encephalopathy, H IE)是围产期窒息后的缺氧引起的一组临床综合征，可致全身多个器官受损，其中神经系统受累最重，可引起脑性瘫痪、癫痫、语言障碍、听力障碍及共济失调等[1]。本研究在有效临床治疗的基础上，加强护理干预，在改善患儿预后、提高患儿生存质量方面取得满意的效果，现报道如下。 1 资料与方法 1.1　一般资料 2001年1月至2008年8月我科新生儿病房收治156例中、重度HIE患儿，均符合1996年杭州会议诊断标准[2] , 且经头颅CT确诊，并排除先天性及代谢性疾病。根据家庭顺从指导程度分为观察组与对照组，观察组78例，男45例、女33例，胎龄(39.27 ±2.41)周,出生体重(3.23±0.35) kg；对照组78例，男43例、女35例，胎龄(39.31±1.94)周,出生体重(3.34±0.12)kg。两组患儿性别、临