摘要
目的探讨早期神经行为护理干预对缺氧缺血性脑病患儿生长发育与智能发育的影响。方法将我院2013年1月~2014年1月中接收的38例缺血缺氧性脑病患儿随机分为研究组与对照组,每组19例。为对照组患儿提供临床常规护理措施,对研究组患儿则在常规护理的基础上实施早期神经行为护理干预,观察组两组患儿接受不同护理模式后生长发育与智力发育情况。结果干预前两组患儿的神经评分均无统计学意义,干预后研究组患儿的神经评分有显著提高,且评分优于对照组,差异有统计学意义(P<0.05);干预后研究组患儿的身高、体质量等指标均高于对照组患儿,研究组患儿生长发育情况较好;另外研究组患儿在人能、应物能、言语能、动作能等4个能区得分上同样优于对照组,研究组智能发育情况更佳,差异有统计学意义(P<0.05)。结论针对缺氧缺血性脑病患儿提供早期神经行为护理干预,对改善患儿预后、促进其生长发育与智能发育有重要的临床意义。
Objective To explore the impact of early neurobehavioral nursing intervention to the growth and intelligence development of children with hypoxic ischemic encephalopathy.Methods38cases of hypoxic ischemic encephalopathy in our hospital from January2013to January2014were randomly divided into study group and control group with19cases in each.Patients in control group were treated with clinical routine nursing measures,and patients in study group were treated with early neurobehavioral nursing intervention on the basis of routine nursing.The development of long term development and mental development in children with different nursing modes of the two groups were observed.Results There was no significant difference between the two groups before and after intervention.After intervention,the neurological score of the study group was significantly improved,and the score was better than that of the control group,the difference was significant(P<0.05).After intervention,the height and body mass index of the study group were higher than those of the control group,and the growth and development of children in the study group were better.In addition,the children in the study group were better than the control group in the4areas of energy,energy,speech and action,and the intelligence development of the study group was better,and the differences between groups showed significant(P<0.05).Conclusion Early neurobehavioral nursing intervention for children with hypoxic ischemic encephalopathy has important clinical significance to improve the prognosis of children,promote their growth and development and intelligence development.
作者
王海凤
杨雪琦
曹立新
李艳艳
WANG Haifeng;YANG Xueqi;CAO Lixin;LI Yanyan(Department of Pediatric Medicine,Hongqi Hospital of Mudanjiang Medical College,Mudanjiang 157011,China;Department of Ophthalmology,the Second Affiliated Hospital of Mudanjiang Medical University,Mudanjiang 157011,China;Department of Neurosurgery,Hongqi Hospital of Mudanjiang Medical College,Mudanjiang 157011,China)
出处
《中国医药科学》
2017年第11期107-109,136,共4页
China Medicine And Pharmacy
关键词
早期
神经行为
护理干预
缺氧缺血性脑病
生长
智能
发育
影响
Early
Nerve behavior
Nursing intervention
Hypoxic ischemic encephalopathy
Growth
Intelligence
Deve lopment
Influenc
