早期神经行为护理干预对缺氧缺血性脑病患儿生长发育与智能发育影响.docVIP

早期神经行为护理干预对缺氧缺血性脑病患儿生长发育与智能发育影响 　　[摘要] 目的 探讨早期神经行为护理干预对缺氧缺血性脑病患儿生长发育与智能发育的影响。 方法 将我院2013年1月～2014年1月中接收的38例缺血缺氧性脑病患儿随机分为研究组与对照组，每组19例。为对照组患儿提供临床常规护理措施，对研究组患儿则在常规护理的基础上实施早期神经行为护理干预，观察组两组患儿接受不同护理模式后生长发育与智力发育情况。 结果 干预前两组患儿的神经评分均无统计学意义，干预后研究组患儿的神经评分有显著提高，且评分优于对照组，差异有统计学意义（P0.05）；干预后研究组患儿的身高、体质量等指标均高于对照组患儿，研究组患儿生长发育情况较好；另外研究组患儿在人能、应物能、言语能、动作能等4个能区得分上同样优于对照组，研究组智能发育情况更佳，差异有统计学意义（P0.05）。 ?Y论 针对缺氧缺血性脑病患儿提供早期神经行为护理干预，对改善患儿预后、促进其生长发育与智能发育有重要的临床意义。 　　[关键词] 早期；神经行为；护理干预；缺氧缺血性脑病；生长；智能；发育；影响 　　[中图分类号] R473.74 [文献标识码] A [文章编号] 2095-0616（2017）11-107-04 　　Impact of early neurobehavioral nursing intervention to the growth and intelligence development of children with hypoxic ischemic encephalopathy 　　WANG Haifeng1 YANG Xueqi2 CAO Lixin3 LI Yanyan2 　　1.Department of Pediatric Medicine，Hongqi Hospital of Mudanjiang Medical College，Mudanjiang 157011，China； 2.Department of Ophthalmology，the Second Affiliated Hospital of Mudanjiang Medical University，Mudanjiang 157011，China；3.Department of Neurosurgery，Hongqi Hospital of Mudanjiang Medical College，Mudanjiang 157011，China 　　[Abstract] Objective To explore the impact of early neurobehavioral nursing intervention to the growth and intelligence development of children with hypoxic ischemic encephalopathy. Methods 38 cases of hypoxic ischemic encephalopathy in our hospital from January 2013 to January 2014 were randomly divided into study group and control group with 19 cases in each.Patients in control group were treated with clinical routine nursing measures，and patients in study group were treated with early neurobehavioral nursing intervention on the basis of routine nursing.The development of long term development and mental development in children with different nursing modes of the two groups were observed. Results There was no significant difference between the two groups before and after intervention.After intervention，the neurological score of the study group was significantly improved，and the score was better than that of the