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目的:探讨超早期护理干预对早产儿脑损伤预后的影响。方法 :将100例脑损伤早产儿按家长意愿随机分为干预组和对照组各50例,对照组住院期间给予常规治疗及护理,干预组在此基础上实施超早期护理干预。出院后,干预组按照本研究制定的早期干预计划,由受培训的家长在家中进行康复训练;对照组接受常规育儿指导。于矫正月龄第6、12个月时,采用《盖塞尔量表》比较两组早产儿平均发育商、预后状况。结果:干预组在第6、12个月时平均发育商均高于对照组(P<0.01),DQ正常率高于对照组(P<0.01)。结论:超早期干预可促进早产儿脑损伤的智力发育,减少伤残率,改善脑损伤早产儿的预后。
Objective: To investigate the effect of ultra-early nursing intervention on the prognosis of premature infants with brain injury. Methods: 100 cases of premature infants with brain injury were randomly divided into intervention group and control group according to the wishes of parents. The control group was given routine treatment and nursing during the hospitalization. The intervention group carried out ultra-early nursing intervention on this basis. After discharge, the intervention group received rehabilitation training at home according to the early intervention plan developed in this study, while the control group received routine parental guidance. At the 6th and 12th months after correction, the average age of preterm infants in both groups was compared with the “Gasel Scale”. Results: The average developmental quotient in the intervention group at 6 and 12 months was higher than that in the control group (P <0.01), and the normal rate of DQ was higher than that of the control group (P <0.01). Conclusion: Ultra-early intervention can promote the intellectual development of brain injury in preterm infants, reduce the disability rate and improve the prognosis of premature infants with brain injury.