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目的探讨康复护理干预对新生儿缺氧缺血性脑病(HIE)治疗的影响。方法选择濮阳市人民医院2011年1月—2014年10月收治入院的缺氧缺血性脑病患儿100例作为研究对象,随机分为两组,对照组治疗期间进行常规基础护理干预。观察组在常规护理基础上采取康复护理干预。观察并比较两组患儿干预后随访1年智力[采用婴幼儿智能发育量表测试患儿的智力发育指数(MDI)]和运动的发育[运动发育指数(PDI)]情况,以及随访2年采用Gesell发育量表测定患儿的总发育商(DQ)及神经系统后遗症(脑瘫、智力低下、共济失调、癫痫)情况。结果观察组MDI、PDI水平均显著高于对照组,差异有统计学意义(P<0.05);观察组患儿的大运动、精细运动、社交、语言等DQ水平显著高于对照组,差异有统计学意义(P<0.05);观察组后遗症发生率4.0%显著低于对照组20.0%,差异有统计学意义(P<0.05)。结论采取康复护理干预,能够明显改善HIE患儿治疗疗效,提高患儿的智力水平,对患儿后期的恢复有着积极的作用。
Objective To investigate the effect of rehabilitation nursing intervention on the treatment of neonatal hypoxic-ischemic encephalopathy (HIE). Methods 100 cases of children with hypoxic-ischemic encephalopathy admitted to Puyang People’s Hospital from January 2011 to October 2014 were randomly divided into two groups. The control group received routine basic nursing intervention. The observation group took rehabilitation nursing intervention on the basis of routine nursing. After one year of follow-up, the mental status [mental development index (MDI) and motor development [motor development index (PDI]] were followed up for two years in both groups and followed up for 2 years The total developmental (DQ) and neurological sequelae (cerebral palsy, mental retardation, ataxia, epilepsy) in children were measured using the Gesell Developmental Scale. Results The levels of MDI and PDI in the observation group were significantly higher than those in the control group (P <0.05). The scores of major motor, fine motor, social and language in the observation group were significantly higher than those in the control group (P <0.05). The incidence of sequelae in observation group was significantly lower than that in control group (4.0% vs. 20.0%, P <0.05). Conclusion Rehabilitation nursing intervention can significantly improve the therapeutic efficacy of children with HIE and improve the intelligence of children with a positive effect on the recovery of children.