早期护理干预对新生儿缺氧缺血性脑病预后的影响.docVIP

早期护理干预对新生儿缺氧缺血性脑病预后的影响 　　[摘要] 目的 探讨分析早期护理干预对新生儿缺氧缺血性脑病预后的影响。 方法 选取我院2012年4月～2014年11月接收治疗的90例新生儿缺氧缺血性脑病患者作为研究分析对象，按入院单双号分为对照组和研究组，各45例，对照组采用常规护理，研究组给予早期护理干预，比较两组患者的临床状况。 结果 护理6个月后，两组患者运动和智力发育指数比较，研究组均优于对照组，差异有统计学意义（P0.05），两组患者护理后总发育商状况（DQ）比较，研究组优于对照组，差异有统计学意义（P0.05）。 结论 新生儿缺氧缺血性脑病可给予早期护理干预措施，护理方式可有效控制此疾病患者的体征和临床症状，对患者预后状况有改善作用，患者存活率提高，具有临床应用价值。 　　[关键词] 早期护理干预；新生儿；缺氧缺血性脑病；预后 　　[中图分类号] R248.4 [文献标识码] A [文章编号] 1674-4721（2016）01（c）-0182-03 　　[Abstract] Objective To explore the impact of early nursing intervention on prognosis of neonatal hypoxic ischemic encephalopathy. Methods 90 neonatal hypoxic ischemic encephalopathy from April 2012 to November 2014 of our hospital were selected as study object. Patients were divided into control group and study group according to the admission number，and each group was 45 cases.Patients in two groups were given different nursing mode，patients in control group were given routine nursing and patients in study group were given early nursing intervention.Clinical condition of two groups were compared. Results After nursing for 6 months，exercise and mental development index in study group were better than that of control group，and the difference was statistical significance （P0.05）.The DQ after nursing in study group was better than that of control group，and the difference was statistical significance （P0.05）. Conclusion Early nursing interventioncan use for neonatal hypoxic ischemic encephalopathy and can well control sign and clinical symptom of neonatal，improve the prognosis of neonatal and enhance survival rate.It has great clinical application value. 　　[Key words] Early nursing intervention；Newborn；Hypoxic ischemic encephalopathy；Prognosis 　　缺氧缺血性脑病可简称为HIE，此疾病属于临床中新生儿儿科中较为常见的一种疾病，由新生儿围生期出现窒息所导致的脑部缺血缺氧性的破坏，这也是引发新生儿癫痫、智力低下、脑瘫的主要原因，此疾病具有较高的病死率和致残率。近年来，大量临床实践报告表明，早期护理干预对新生儿HIE的预后效果较为理想，对新生儿的运动功能和智能发育有明显促进作用，可降低神经系统后遗症发生率[1]。为证实此观点，本文选取我院2012年4月～2014年11月期间接收治疗的90例新生儿缺氧缺血性脑病患者作为研究分析对象，患者分为两组，其中一组采用早期护理干预，取得了良好的疗效，具体报告如下。 　　1 资料