个性化护理对新生儿缺氧缺血性脑病21例的护理效果体会

目的：观察个性化护理对新生儿缺氧缺血性脑病（HIE）的护理效果。方法42例HIE患者随机分为护理组和对照组，每组21例。对照组患者予以常规护理，护理组患者在此基础上予以针对性个性化护理，观察两组患者的疗效和后遗症发生情况。结果护理组患者在出生后6个月和24个月的智力发育指数（MDI）和运动发育指数（PDI）得分均高于对照组患者，差异有统计学意义（P〈0.05）。随访时间从6个月~2年。护理组患者发生智力低下1例，脑瘫1例，后遗症发生率9.5%；对照组患者发生智力低下2例，视力障碍2例，脑瘫2例，后遗症发生率28.6%。两组比较差异有统计学意义（P〈0.05）。结论针对新生儿缺氧缺血性脑病患者的具体情况制定个性化护理方案，对于提高患者生活质量、降低后遗症发生率、减少患者家庭的经济负担十分有意义，值得在今后临床工作中推广应用。

Nursing experience of personalized nursing on 21 cases of hypoxic-ischemic encephalopathy

Objective To investigate the effect of personalized nursing on hypoxic-ischemic encephalopathy（HIE）. Methods Divided 42 patients with hypoxic-ischemic encephalopathy into nursing group and control group. Traditional nursing was given to control group. Personalized nursing was given to nursing group. Therapeutic effect and sequela rate was observed. Results Mental development index（MDI） and motor development index（PDI） in nursing group were higher than in control group. By contrast, the variation in scores had statistical significance. （P〈0.05）. Follow-up 6 months to 2 years, there were 1 mentally retarded, 2 cerebral palsy in the nursing group, the sequela rate was 9.5%. There were 2 mentally retarded, 2 visual impairment and 2 cerebral palsy in the control group, the sequela rate was 28.6%. By contrast, the variation in scores had statistical significance. （P〈0.05）. Conclusion Personalized nursing on patient with hypoxic-ischemic encephalopathy can improve their living quality and decrease the sequela rate. It can also reduce the economic burden for the patients’family, so it is worthy of clinical promotion.