发育支持护理对极低出生体重儿影响.docVIP

发育支持护理对极低出生体重儿影响 　　【中图分类号】R473.72 【文献标识码】A 【文章编号】1672－3783(2012)03－0010－01 　　【摘要】 目的：研究发育支持护理对极低出生体重儿的影响，为其在临床的广泛应用提供客观依据，同时给新生儿重症监护室（NICU）文化发展提供良好的借鉴。方法：将2008年1月至2010年3月我科收治具有完整资料的81例极低出生体重儿按住院时间分成两组，即研究组41例和对照组40例。研究组采用发育支持护理模式，对照组采用传统护理模式。观察发育支持护理模式对患儿胎粪排尽时间、完全经口喂养时间、恢复出生体重天数、体格发育生等方面的影响。结果：研究组胎粪排尽时间、完全经口喂养时间、恢复出生体重天数明显短于对照组（p0.05），研究组头围、体重增长明显优于对照组（p0.05）.结论：发育支持护理可缩短胎粪排尽、体重恢复和经口喂养的时间，同时可以促进患儿体重和头围等体格的发育，提高了患儿的生存质量。 　　【关键词】发育支持护理；极低体重儿；早产儿 　　 Effect of developmental supportive care on very low birth weight infants 　　 HuangYuXiang (sichuan LongChangXian maternity and child care centers 642150) 　　 【Abstract】 0bjective :To research into effect of developmental supportive care on very low birth weight infants, so as to provide objective basis for clinical recommendation. Methods :Methods: from January 2008 my branch in March 2010 with complete data were 81 cases of extremely low birthweight is divided into two groups according to the length of time, namely, 41 cases and controls group 40 cases. By development support group, nursing mode were treated by traditional nursing mode. Observation of nursing mode development support children all the time, tire dung row by mouth feeding time, fully recover birth weight days and physique growth effects of birth. Results: the womb as dung row team time, fully tramsotal feeding time, restore the birth weight days shorter than the control group significantly (p0.05), the team head circumference and weight growth are significantly better than the control group (p0.05).Conclusion: development support nursing can shorten tyres, as dung row regain the weight and classics mouth feeding time, also can promote weight and head circumference children as a physical development, improve their childrens living quality. 　　 【Key words】developmental supportive care; very low birth weight infants;premature 　　 极低出生体重儿是指出生1小时内体重不足2500克，而大于1000克者。随着围产医学的不断进步，极低出生体重儿生存率较前明显的提高，如何提高极低出生体重儿的生存率和生存质量是新生儿医学界面临的重要科题之一，也是目前国内外的热点问题。本研究主要探讨发育支持护理