新生儿重症监护病房的早期干预在极低出生体重儿中的应用

发布时间：2018-06-25 12:28

本文选题：早期干预 + 早产　；参考：《中国儿童保健杂志》2017年02期

【摘要】：目的探讨极低出生体重儿在新生儿重症监护病房(NICU)的早期干预对其预后的影响。方法选择2014年1月-2015年10月在本院NICU住院治疗的81例极低出生体重儿为研究对象,分为两组:家长参与早期干预的为干预组(40例);家长未参与早期干预的为对照组(41例)。干预组在NICU住院期间进行发育支持护理,在出院前一周进行刺激训练、肢体运动训练并教会家长;出院后每周1次电话随访指导;家长参与科室微信群及早产儿家长学校获取干预指导。对照组按常规治疗护理出院并做随访。评估两组在纠正胎龄44周时的体格发育和全身运动(GMs)。结果两组在纠正胎龄44周时的体重、身长比较,差异有统计学意义(P0.05);头围比较,差异无统计学意义(P0.05);干预组正常扭动运动共33例,对照组22例,两组差异有统计学意义(P0.05);单调扭动运动(PR)干预组为5例,对照组12例,差异有统计学意义(P0.05);痉挛同步扭动运动(CS)干预组为2例,对照组7例,差异有统计学意义(P0.05)。结论在NICU住院期间开始早期干预可以改善极低出生体重儿的预后。
[Abstract]:Objective to investigate the effect of early intervention on prognosis of very low birth weight infants in neonatal intensive care unit (NICU). Methods from January 2014 to October 2015, 81 very low birth weight infants who were hospitalized in NICU from January 2014 to October 2015 were divided into two groups: the intervention group (40 cases) and the control group (41 cases). The intervention group received developmental support nursing during hospitalization in NICU, stimulation training, limb movement training and teaching parents one week before discharge, followed up by telephone once a week after discharge. Parents participate in department WeChat group and premature parents school to obtain intervention guidance. The patients in the control group were discharged from hospital and followed up according to the routine treatment. Physical development and general motion (GMs) at 44 weeks of corrected gestational age were evaluated in both groups. Results there were significant differences in body weight and body length between the two groups at 44 weeks of corrected gestational age (P0.05), while there was no significant difference in head circumference (P0.05). 33 cases of normal torsion exercise were observed in the intervention group and 22 cases in the control group. There were significant differences between the two groups (P0.05); monotone torsion exercise (PR) intervention group (5 cases), control group (12 cases), the difference was statistically significant (P0.05); spasm synchronous torsion exercise (CS) intervention group (2 cases), control group (7 cases), the difference was statistically significant (P0.05). Conclusion early intervention during hospitalization in NICU can improve the prognosis of very low birth weight infants.
【作者单位】：南通市妇幼保健院新生儿科;南通市妇幼保健院儿童保健科;
【基金】：江苏省妇幼保健资助项目(F201330) 南通市科技计划项目(HS149103)
【分类号】：R473.72

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