延续性护理干预对极低出生体重早产儿婴儿期神经发育的影响

目的:探讨延续性护理干预对极低出生体重早产儿婴儿期神经发育的影响.方法:抽取2015年1至12月自山西省儿童医院出院的符合纳入条件的极低出生体重儿(very low birth weight infant,VLBWI) 174例,随机分为对照组(n=87)和观察组(n=87).对照组采用常规护理,观察组在常规护理基础上开展延续性护理干预;收集两组VLBWI的0,6,9及12月龄体重等指标进行生长发育评价;运用《0～6岁小儿神经心理发育量表》,对大运动、语言等5个能区进行神经发育评价.结果:实验组患儿身长及体重均高于对照组,差异具有统计学意义(P＜0.05),头围与对照组相比无明显改变;实验组患儿的各能区发育商(development quotient,DQ)均高于对照组,差异具有统计学意义(P＜0.001).结论:延续护理干预可促进极低出生体重患儿婴儿期神经发育,是改善其预后和提高生活质量的有效手段.

Effect of continuity of care intervention on intellectual development in very low birth weight premature infants

Objective:To evaluate the effect of continuity of care on neural development in very low birth weight premature infants.Methods:Using randomized controlled trail design,174 very low birth weight premature infants were divided into two groups.Totally 87 cases completed the trial in each group.Tne control groups were given routine outpatient care.In addition,the experimental group received continuity of care.Infants' neurological assessment were carried by using "0 to 6 years old children's neuropsychological development scale";body height,body weight and head circumference were collected at the point of 0,6th 9th and 12th month.Results:Body height and body weight in the experimental group were significantly higher than those of the control group,the differences were statistically significant (P＜0.05),and there was no significance in the index of head circumference;the development quotient and each function region of scale in the experimental group were higher than those in the control group (P＜0.001).Conclusion:Continuity of care can promote very low birth weight premature infants' intellectual development,which maybe an effective means to improve VLBWI prognosis and the quality of life.