摘要
【目的】 探讨窒息儿群体保健的关键环节。 【方法】 对 5 3例窒息儿早、晚期进行综合健康管理的2 0项相关因素 ,应用多元逐步回归模型进行分析。 【结果】 健康管理持续时间、开始管理的年龄、窒息复苏成功时间、其父母的文化程度与职业、婴儿大脑受损伤的程度是窒息儿的健康管理效果的影响因素。健康管理持续时间、开始管理的年龄、复苏成功时间以及其父亲的职业 (农民、干部 )对DQ变化的作用占所有影响因素的 84.6%,其中健康干预持续时间对DQ的贡献最大 (R2 =0 .771)。健康管理持续的时间、窒息儿母亲文化程度与职业 (教师、工人 )、缺氧缺血性脑损伤的程度分别影响WAZ、HAZ、WHZ和HCAZ值。HCAZ值极其显著地影响DQ的变化 (t =3 .3 5 5 ,P<0 .0 1)。 【结论】 提高围产期监护和窒息复苏技术水平 ,家庭健康促进和 0～ 2岁综合干预是窒息儿群体防治的关键环节。
To study key link of health for asphyxiated children groups. Healthful management was taken for the 53 cases asphyxiated children with the methods of health education, longitudinal growth and development monitoring, nutrition management, training of early education and medical intervention for 2 years. 53 cases asphyxiated children were assigned to early intervention group (44 cases) and late period intervention group (9 cases), which were begin healthful management in birth or after 6 month each other. It was assessed the effect of healthful management by Z score of standard of World Health Organization (WHO) and by Gesell developmental schedules. The related factors of healthful management were analyzed by multiple progressively regression model. The influential factors of effect on healthful management were lasted time of healthful management, age of beginning healthful management, time of resuscitative success, the professional and educational level of parents in asphyxiated children, and degree of infantile brain damage. The influential factors which change the Developmental Quotient (DQ) were lasted time of healthful management, age of beginning healthful management, time of resuscitative success, child's fatherly profession (peasant, cadre), and which were 84.6% to the total influencing factors, the contribution of lasted time of healthful intervention was most big ( R 2=0.771). The factor which affected the values of Z score of weight for age (WAZ) was the lasted times of healthful management. The values of Z score of height for age (HAZ), weight for age (WHZ) were affected by educational level and the profession (teacher, worker) of child's mother separately.The values of Z score of head circumference for age (HCAZ) were affected by grave hypoxic ischemic brain damage. The values of DQ was most striking affected by value of HCAZ. [Conclusion] The key link of prevention and cure for groups of asphyxiated children is upgrading technical level of perinatal guardianships,level of asphyxiated resuscitation, health promotion of family and synthetic intervention in 0～2 years old.
出处
《中国儿童保健杂志》
CAS
2004年第1期5-7,共3页
Chinese Journal of Child Health Care
基金
国家卫生部科学研究基金资助 (96 1 363)
关键词
健康管理
窒息
婴儿
影响因素
health management
asphyxia
children
influencing factors
