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目的:探讨早期康复护理在缺血缺氧性脑病新生儿中的应用研究。方法:选取2012年10月至2014年12月龙川县妇幼保健院确诊治疗的缺血缺氧性脑病新生患儿60例,依据随机分配原则分为康复组和常规组,各30例,常规组患儿给予常规护理干预,康复组患者给予早期康复护理干预,采用智力发育指数(MDI)评估智力发育,采用运动发育指数(PDI)评估运动能力,随访1年,统计分析所有患儿MDI、PDI得分和干预前、干预后1、6、12个月的体质量情况。结果:康复组患儿干预后MDI、PDI得分明显高于常规组,差异具有统计学意义(P<0.05);干预前,康复组和常规组患儿体质量基本一致,差异无统计学意义(P>0.05),康复组患儿干预后1、6、12个月的体质量明显高于常规组,差异具有统计学意义(P<0.05)。结论:早期康复护理可有效改善缺血缺氧性脑病新生患儿的智力发育和运动能力,有利于患儿的身心发育。
Objective: To investigate the application of early rehabilitation nursing in neonates with hypoxic-ischemic encephalopathy. Methods: From October 2012 to December 2014, 60 newborn infants with hypoxic-ischemic encephalopathy diagnosed and treated in Longchuan MCH hospital were randomly divided into rehabilitation group and conventional group according to the principle of random distribution, 30 cases in each group The patients in the rehabilitation group were given interventions in early rehabilitation. The mental development was assessed by using the mental development index (MDI), and the exercise ability was assessed by the sports development index (PDI). The patients were followed up for 1 year, PDI score and body mass before, 1, 6, 12 months after intervention. Results: The scores of MDI and PDI in rehabilitation group were significantly higher than those in conventional group after intervention (P <0.05). Before intervention, the body weight of children in rehabilitation group and routine group were basically the same, with no significant difference P> 0.05). The body weight of children in rehabilitation group was significantly higher than that of routine group at 1, 6, 12 months after intervention (P <0.05). Conclusion: Early rehabilitation nursing can effectively improve the mental development and motor ability of newborn infants with hypoxic-ischemic encephalopathy, which is good for physical and mental development of children.