CAJ | 학술논문

目的：探讨延续护理在极低出生体重早产儿(VLBWI)出院后生长中的作用。方法选取2010年1月至2011年12月期间在我院出生的VLBWI50例并分为两组。24例对照组患儿出院后由家长自行护理；26例观察组患儿出院后由我科资深护士进行延续护理，直至患儿1周岁。比较两组患儿出院后至1周岁期间的再入院率、死亡率，观察两组患儿1周岁时的体格发育、神经发育情况。结果随访期间再入院率的比较观察组显著低于对照组(P<0.05)，但死亡率差异无统计学意义(P>0.05)。两组存活患儿1周岁时的体格发育均近似于正常婴儿。观察组存活患儿1周岁MDI评分、PDI评分表现明显好于对照组(P<0.05)。观察组患儿MDI<70、PDI<70、脑瘫、失聪、神经发育损害例数及发生率均低于对照组，但两组间无统计学差异(P>0.05)。结论院外延续护理可降低VLBWI的再入院率和死亡率，改善患儿的神经发育。
목적：탐토연속호리재겁저출생체중조산인(VLBWI)출원후생장중적작용。방법선취2010년1월지2011년12월기간재아원출생적VLBWI50례병분위량조。24례대조조환인출원후유가장자행호리；26례관찰조환인출원후유아과자심호사진행연속호리，직지환인1주세。비교량조환인출원후지1주세기간적재입원솔、사망솔，관찰량조환인1주세시적체격발육、신경발육정황。결과수방기간재입원솔적비교관찰조현저저우대조조(P<0.05)，단사망솔차이무통계학의의(P>0.05)。량조존활환인1주세시적체격발육균근사우정상영인。관찰조존활환인1주세MDI평분、PDI평분표현명현호우대조조(P<0.05)。관찰조환인MDI<70、PDI<70、뇌탄、실총、신경발육손해례수급발생솔균저우대조조，단량조간무통계학차이(P>0.05)。결론원외연속호리가강저VLBWI적재입원솔화사망솔，개선환인적신경발육。
Objective To evaluate the effect of post-discharge nursing for very low birth weight infant (VLBWI). Methods 50 VLBWI in our hospital from January 2010 to December 2011 were divided into two groups. 24 cases of control group were nursed by their parents after discharge, while 26 cases of observation group received post-discharge nursing until 1 year old. The readmission rate and death rate during discharge to 1 year old were compared, and the physical development and neural development at 1 year old were observed. Results The readmission rate during follow-up of observation group was significantly lower than that of control group (P<0.05), but there was no statistical difference in the death rate between two group (P>0.05). All living VLBWI showed normal physical development at 1 year old, but the observation group was superior to control group in MDI score and PDI score (P<0.05). The differences of incidences of MDI<70, PDI < 70, cerebral palsy, deafness, neurodevelopmental impairment between two groups were not statistically significant (P >0.05). Conclusions Post-discharge nursing can reduce the readmission rate and mortality of the VLBWI, and can improve their neurodevelopment.