世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
13期
6-8
,共3页
早产儿发育支持护理及评估%极低出生体重儿%临床价值
早產兒髮育支持護理及評估%極低齣生體重兒%臨床價值
조산인발육지지호리급평고%겁저출생체중인%림상개치
premature development support nursing care and assessment%very low birth weight infants%clinical value
目的：探讨早产儿发育支持护理及评估对促进极低出生体重儿成长发育的临床价值。方法将本院近年来收治的240例极低出生体重儿纳入研究，同时以随机数表法方式将患儿均分成两组，对照组120例根据常规育儿标准护理，观察组120例实施早产儿发育支持护理及评估，对两组施护后的奶摄入量、体重、住院天数与睡眠时间等进行评估，并通过神经行为测试（NBNA）、婴儿智能发育量表（CDCC）比较和研究患儿的神经行为与智能发育情况。结果观察组施护后的奶摄入量、体重、住院天数及睡眠时间相比对照组均有明显改善，有统计学意义（P<0.05）。接受干预后，观察组的行为能力、被动肌张力等各项NBNA指标评分相比对照组明显提高，有统计学意义（P<0.05）。经定期随访，提示纠正年龄1岁时，观察组的CDCC分值是（107.35±10.73）分，要显著性高于对照组的（93.55±12.09）分，有统计学意义（P<0.05）。结论对极低出生体重儿实施早产儿发育支持护理及评估模式辅助治疗，有利于促进患儿神经行为与智能的发育，改善其成长发育状况，值得在临床加强普及和使用。
目的：探討早產兒髮育支持護理及評估對促進極低齣生體重兒成長髮育的臨床價值。方法將本院近年來收治的240例極低齣生體重兒納入研究，同時以隨機數錶法方式將患兒均分成兩組，對照組120例根據常規育兒標準護理，觀察組120例實施早產兒髮育支持護理及評估，對兩組施護後的奶攝入量、體重、住院天數與睡眠時間等進行評估，併通過神經行為測試（NBNA）、嬰兒智能髮育量錶（CDCC）比較和研究患兒的神經行為與智能髮育情況。結果觀察組施護後的奶攝入量、體重、住院天數及睡眠時間相比對照組均有明顯改善，有統計學意義（P<0.05）。接受榦預後，觀察組的行為能力、被動肌張力等各項NBNA指標評分相比對照組明顯提高，有統計學意義（P<0.05）。經定期隨訪，提示糾正年齡1歲時，觀察組的CDCC分值是（107.35±10.73）分，要顯著性高于對照組的（93.55±12.09）分，有統計學意義（P<0.05）。結論對極低齣生體重兒實施早產兒髮育支持護理及評估模式輔助治療，有利于促進患兒神經行為與智能的髮育，改善其成長髮育狀況，值得在臨床加彊普及和使用。
목적：탐토조산인발육지지호리급평고대촉진겁저출생체중인성장발육적림상개치。방법장본원근년래수치적240례겁저출생체중인납입연구，동시이수궤수표법방식장환인균분성량조，대조조120례근거상규육인표준호리，관찰조120례실시조산인발육지지호리급평고，대량조시호후적내섭입량、체중、주원천수여수면시간등진행평고，병통과신경행위측시（NBNA）、영인지능발육량표（CDCC）비교화연구환인적신경행위여지능발육정황。결과관찰조시호후적내섭입량、체중、주원천수급수면시간상비대조조균유명현개선，유통계학의의（P<0.05）。접수간예후，관찰조적행위능력、피동기장력등각항NBNA지표평분상비대조조명현제고，유통계학의의（P<0.05）。경정기수방，제시규정년령1세시，관찰조적CDCC분치시（107.35±10.73）분，요현저성고우대조조적（93.55±12.09）분，유통계학의의（P<0.05）。결론대겁저출생체중인실시조산인발육지지호리급평고모식보조치료，유리우촉진환인신경행위여지능적발육，개선기성장발육상황，치득재림상가강보급화사용。
Objective:To investigate the clinical value of the growth and development of premature infants development support nursing and estimation of low birth weight infants to promote.Methods:the hospital treated 240 cases in recent years of very low birth weight infants included in the study, at the same time with the random number table method the patients were divided into two groups, 120 cases in the control group according to the routine care of standard nursing care, observation group of 120 cases of premature infants and to assess the implementation of developmental supportive care, assessment of two groups of nursing after the milk intake, body weight, length of hospitalization and sleep time, and through the neurobehavioral test (NBNA), infant intelligence development scale (CDCC) and comparison of neural behavior and intelligence of children with developmental condition. Results: the group of nursing after the milk intake, body weight, length of stay and sleep time compared to the control group were obviously improved, with statistical signiifcance (P < 0.05). Accept the intervention, the observation group behavior ability, passive muscle tension, the NBNA index scores than the control group obviously increased, with statistical signiifcance (P < 0.05). The regular follow-up, prompt corrective age of 1, the observation group the CDCC score is (107.35 ± 10.73), to be signiifcantly higher than the control group (93.55 ± 12.09), with statistical signiifcance (P < 0.05). Conclusion: the implementation of developmental supportive care of preterm infants and evaluation mode in adjuvant treatment of very low birth weight infants, is conducive to the promotion of nerve behavior of children and intelligent development, improve the growth condition, strengthen the popularization and worth in clinical use.
