早期护理干预对新生儿缺血缺氧性脑病预后的影响

目的:探讨早期护理干预对新生儿缺血缺氧性脑病(HIE)患儿预后的影响,提出合理的护理干预措施.方法:实验法,将患儿随机分为干预组和对照组各25例,两组患儿均予HIE的常规治疗及基础护理,予合理喂养.干预组在以上基础上给予针对患儿的早期、系统化、个性化的护理干预,包括视觉刺激、听觉刺激、触觉刺激、前庭运动刺激.出院后继续给予干预.对两组患儿预后进行评估,并对评估结果进行分析.结果:干预组在1.5岁和2岁时身长、头围、体重略高于对照组.干预组1岁以后智能发育指数(MDI)、运动发育指数(PID)均高于对照组,两组比较差异具有统计学意义(P＜0.05).结论:早期护理干预能有效促进HIE患儿的智能发育,明显改善患儿预后.

The impact of early care and intervention of newborns on ischemic hypoxic encephalopathy prognosis

Objective: Objective To investigate the impact of early nursing intervention on the prognosis of children with neonatal hypoxic-ischemic encephalopathy(HIE) and to provide the reasonable care interventions.Methods:The experimental method,children were randomly divided into intervention group and control group,each group had 25 cases,two groups of children herein were given HIE conventional treatment and basic care,with reasonable feeding.The intervention group were given early,systematic,personalized care interventions,including visual stimulation,auditory stimulation,tactile stimulation and vestibular movement stimulation.They were given intervention continually after discharge.Prognosis of two groups of children wereevaluated and the results were analyzed.Results:In the intervention group,when at the age of 1.5 years and 2 years old length,the head circumference,weight slightly were higher than that in the control group.In the intervention group after 1 year of age,the mental development index(MDI) and psychomotor development index(PID) were higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Early nursing intervention can effectively promote the intellectual development of neonates with HIE,and improve prognosis of children.