安徽医药
安徽醫藥
안휘의약
ANHUI MEDICAL AND PHARMACEUTICAL JOURNAL
2015年
7期
1401-1403
,共3页
脑性瘫痪%相关因素%小儿%护理对策
腦性癱瘓%相關因素%小兒%護理對策
뇌성탄탄%상관인소%소인%호리대책
cerebral palsy%nfluence factor%children%nursing countermeasure
目的:通过回顾性研究探讨小儿脑性瘫痪的影响因素及护理对策。方法选取2012年1月—2014年2月于该院就诊的303例患儿为研究对象,将其分为观察组(脑瘫轻症)202例和对照组(脑瘫重症)101例,应用 Logistic 回归模型对小儿脑性瘫痪进行影响因素分析。结果单因素分析结果,观察组患儿宫内感染(8.42%)、妊娠高血压(16.83%)、难产(44.55%)、早产(14.85%)、新生儿窒息(43.56%)、低出生体重(44.55%)、呼吸窘迫综合征(46.04%)、高胆红血症(27.72%),与对照组相比具有统计学差异(P <0.05)。经 Logistic 回归分析,低出生体重、新生儿窒息、早产、宫内感染、高胆红血症为脑瘫的危险因素。结论低出生体重、新生儿窒息、早产、宫内感染、高胆红血症与小儿脑瘫有一定的相关性,积极预防出生前、出生时、出生后的高危因素对于降低脑瘫的发生具有重要的意义,多方面综合护理措施可以促进小儿脑性瘫痪功能的恢复。
目的:通過迴顧性研究探討小兒腦性癱瘓的影響因素及護理對策。方法選取2012年1月—2014年2月于該院就診的303例患兒為研究對象,將其分為觀察組(腦癱輕癥)202例和對照組(腦癱重癥)101例,應用 Logistic 迴歸模型對小兒腦性癱瘓進行影響因素分析。結果單因素分析結果,觀察組患兒宮內感染(8.42%)、妊娠高血壓(16.83%)、難產(44.55%)、早產(14.85%)、新生兒窒息(43.56%)、低齣生體重(44.55%)、呼吸窘迫綜閤徵(46.04%)、高膽紅血癥(27.72%),與對照組相比具有統計學差異(P <0.05)。經 Logistic 迴歸分析,低齣生體重、新生兒窒息、早產、宮內感染、高膽紅血癥為腦癱的危險因素。結論低齣生體重、新生兒窒息、早產、宮內感染、高膽紅血癥與小兒腦癱有一定的相關性,積極預防齣生前、齣生時、齣生後的高危因素對于降低腦癱的髮生具有重要的意義,多方麵綜閤護理措施可以促進小兒腦性癱瘓功能的恢複。
목적:통과회고성연구탐토소인뇌성탄탄적영향인소급호리대책。방법선취2012년1월—2014년2월우해원취진적303례환인위연구대상,장기분위관찰조(뇌탄경증)202례화대조조(뇌탄중증)101례,응용 Logistic 회귀모형대소인뇌성탄탄진행영향인소분석。결과단인소분석결과,관찰조환인궁내감염(8.42%)、임신고혈압(16.83%)、난산(44.55%)、조산(14.85%)、신생인질식(43.56%)、저출생체중(44.55%)、호흡군박종합정(46.04%)、고담홍혈증(27.72%),여대조조상비구유통계학차이(P <0.05)。경 Logistic 회귀분석,저출생체중、신생인질식、조산、궁내감염、고담홍혈증위뇌탄적위험인소。결론저출생체중、신생인질식、조산、궁내감염、고담홍혈증여소인뇌탄유일정적상관성,적겁예방출생전、출생시、출생후적고위인소대우강저뇌탄적발생구유중요적의의,다방면종합호리조시가이촉진소인뇌성탄탄공능적회복。
Objective To investigate influence factors for children with cerebral palsy through retrospective study and to discuss nurs-ing countermeasures.Methods A total of 303 cases of coronary syndrome patients,who were treated in hospital from Jan 2012 to Feb 2014,were selected in the study and assigned into the control group(severe case,n =101)and the observation group(mild case,n =202)to analyze influence factors for pediatric cerebral palsy using Logistic regression model.Results The single factor analysis showed that in the observation group there were intrauterine infection (8.42%),gestational hypertension (16.83%),dystocia (44.55%),pre-mature birth (14.85%),neonatal asphyxia (43.56%),low birth weight (44.55%),respiratory distress syndrome (46.04%),hyperbil-irubinemia (27.72%),which had significant difference from the control group (P <0.05).Through Logistic regression analysis,low birth weight,neonatal asphyxia,premature delivery,intrauterine infection,hyperbilirubinemia were risk factors for cerebral palsy.Conclu-sions Low birth weight,neonatal asphyxia,premature delivery,intrauterine infection,hyperbilirubinemia has certain correlation with in-fantile cerebral palsy.Active prevention of prenatal,connatal and postnatal risk factors has vital significance for the reduction of cerebral palsy and various comprehensive nursing intervention can improve the recovery of the functions of children with cerebral palsy.