早期多元化护理干预对新生儿缺氧缺血性脑病疗效影响.docVIP

早期多元化护理干预对新生儿缺氧缺血性脑病疗效影响 　　[摘要] 目的 ?^察早期多元化护理干预在新生儿缺氧缺血性脑病（HIE）治疗中的应用效果。 方法 将在本院治疗的100例HIE患儿按照随机数字表法分为观察组和对照组，每组50例，两组均实施对症支持治疗，对照组实施常规护理，观察组同步实施早期多元化护理干预，比较两组的护理效果。 结果 两组出生第2天神经行为测定（NBNA）各项指标平均分、总分比较差异无统计学意义（P0.05），比较两组出生第28天新生儿神经行为测定结果中显示的所有指标的总分与平均分，最终发现，观察组比对照组更好些，差异有统计学意义（P0.05）。比较两组各项并发症发生率，发现观察组的发生率要比对照组低得多，两组差异有统计学意义（P0.05）。观察组患儿家属对护理整体满意度高于对照组， 差异有统计学意义（P0.05）。 结论 早期多元化护理干预可有效改善新生儿NBNA评分，同时降低并发症的发生率，从而提高家属对护理整体满意度。 　　[关键词] 新生儿缺氧缺血性脑病；多元化护理干预；并发症；神经行为测定 　　[中图分类号] R473.72 [文献标识码] A [文章编号] 2095-0616（2017）07-87-05 　　Effect of early nursing intervention on neonatal hypoxic ischemic encephalopathy 　　ZHANG Min MENG Haohao LIAO Ailing JIANG Lanyan WU Duanchun 　　Nanshan District Peoples Hospital， Shenzhen 518052， China 　　[Abstract] Objective To observe the application effct of early nursing intervention on neonatal hypoxic ischemic encephalopathy. Methods 100 cases of HIE children cured in our hospital were randomly divided into observaition group and control group with 50 cases in each. All the patients in the two groups were given symptomatic supportive treatment. Patients in control group were treated with routine nursing， patients in observation group were treated with early implementation of diversified nursing intervention. Nursing effect of the two groups was compared. Results There was no significant difference between the two groups （neonatal behavioral neurological assessment， NBNA） in the mean scores and the total scores of the neurobehavioral tests in the second days of birth （P0.05）. The total score and the average score of all the indicators of neonatal neurobehavioral outcome measured at twenty-eighth days of birth of the two groups were compared and showed that the observation group was better than the control group， and the difference was statistically significant （P0.05）. The incidence of complications in the two groups was compared， and the incidence of the observation group was much lower than that of the control group， and the difference