CAJ | 학술논문

目的：探讨早期护理干预对新生儿缺氧缺血性脑病的影响。方法：选择2012年6月～2013年6月我院收治的新生儿缺氧缺血性脑病患儿98例，并随机等分为对照组和观察组，两组均给予神经节苷脂治疗。对照组采用常规对症支持护理，观察组给予早期综合护理干预。比较两组护理效果。结果：观察组患儿6，12个月时心理运动指数与智力运动指数评分均高于对照组（P＜0．05）。干预后观察组护理满意度及知识掌握率均高于对照组，患儿神经性后遗症率及不良预后率均低于对照组（P＜0．05）。结论：神经节苷脂治疗新生儿缺氧缺血性脑病的同时加强早期综合护理干预，对患儿智商发育水平的改善有促进作用，且可防范神经性后遗症和不良预后发生。
목적：탐토조기호리간예대신생인결양결혈성뇌병적영향。방법：선택2012년6월～2013년6월아원수치적신생인결양결혈성뇌병환인98례，병수궤등분위대조조화관찰조，량조균급여신경절감지치료。대조조채용상규대증지지호리，관찰조급여조기종합호리간예。비교량조호리효과。결과：관찰조환인6，12개월시심리운동지수여지력운동지수평분균고우대조조（P＜0．05）。간예후관찰조호리만의도급지식장악솔균고우대조조，환인신경성후유증솔급불량예후솔균저우대조조（P＜0．05）。결론：신경절감지치료신생인결양결혈성뇌병적동시가강조기종합호리간예，대환인지상발육수평적개선유촉진작용，차가방범신경성후유증화불량예후발생。
Objective:To investigate the effect of ganlioside treated neonatal hypoxic -ischemic encephalopathy.Methods:98 cases neonatal hypoxic-ische-mic encephalopathy from June 2012-June 2013 in our hospital,received ganglioside treatment,and they were randomly divided into two groups.The control group with conventional symptomatic treatment,the observation group received early nursing intervention.To compare the effect between two groups.Results:The two groups of children 6 months of age,12 months of age in the observation group developed PDI and MDI IQ scores were higher than the control group (P<0.05).After the intervention nursing satisfaction and knowledge level rates of observation group were higher than the control group,the rate of children with neurological sequelae and poor prognosis were lower than the control group (P<0.05).Conclusion:Ganglioside treatment of neonatal hypoxic-ische-mic encephalopathy,while strengthening early comprehensive nursing intervention to improve children's intelligence can promote developmental level,and can prevent neurological sequelae and adverse outcomes occur.