综合护理干预在新生儿缺血缺氧性脑病中的应用效果分析.docVIP

精品论文 参考文献 综合护理干预在新生儿缺血缺氧性脑病中的应用效果分析 付琼芳 　　资中县人民医院 四川内江 641000 　　【摘 要】目的：分析综合护理干预在新生儿缺血缺氧性脑病中的应用效果。方法：将我院收治的60例新生儿缺血缺氧性脑病患儿随机分为观察组30例和对照组30例。入院后2组患儿均行相同方案的综合治疗，临床治疗中对照组患儿行常规护理，观察组患儿行综合护理干预，即在常规护理干预的基础上予以患儿益智健脑按摩、听觉刺激、视觉刺激、触觉刺激及前庭运动刺激护理。对比分析2组患儿的智育、智能发育水平及预后情况。结果：Gesell发育量表下，1岁时，观察组患儿的平均大运动、精细运动、语言、适应能力及社交能力指标评分均高于对照组（P＜0.05）。婴幼儿智能发育量表（CDCC）下，6月龄和1岁时，观察组患儿的平均MDI、PDI指标值均高于对照组（P＜0.05）。18月龄时，观察组患儿预后良好率为86.67%，对照组为73.33%，观察组患儿18月龄时的预后良好率高于对照组（P＜0.05）。结论：于新生儿缺血缺氧性脑病患儿临床治疗中予以综合护理干预对提高患儿智育、智能发展水平及改善患儿预后具有重要的作用。 　　【关键词】新生儿缺血缺氧性脑病；综合护理干预；智育；智能；预后 　　【中图分类号】R473.72 【文献标识码】B 【文章编号】1674-8999（2015）8-0419-02 　　Analysis and application of comprehensive nursing intervention on neonatal hypoxic ischemic encephalopathy 　　【Abstract】Objective: to analyze the application of comprehensive nursing intervention on neonatal hypoxic ischemic encephalopathy. Methods: randomly divided 60 cases of neonatal hypoxic ischemic encephalopathy in our hospital as observation group 30 cases and control group with 30 cases. Comprehensive treatment on 2 patients received the same plan, in the clinical treatment of patients in the control group received routine nursing care, observation group were treated with comprehensive nursing intervention, which is based on conventional nursing intervention on children with brain massage, auditory, visual stimulation, tactile and vestibular stimulation nursing. Comparative analysis of intelligence, intelligence development and prognosis of 2 groups of children with. Results: Gesell developmental scale, at the age of 1, the observation group the average movement, fine motor, language, adaptation and social ability index scores were higher than those in the control group (P lt; 0.05). Infant mental development scale (CDCC), June age and at the age of 1, the average MDI, PDI index value of the observation group were higher than those in control group (P lt; 0.05). At the age of 18 months, the observation group with good prognosis rate was 86.67%, 73.33% in the c