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目的:观察抚触对新生儿缺氧缺血性脑病的干预效果。方法:选择中度HIE患儿152例,随机分为抚触组76例和对照组76例。对照组给予常规治疗;抚触组在常规治疗基础上控制惊厥后给予抚触,每日1次,每次15min,至月龄满3个月。比较两组治疗前后NBNA得分及3月龄DQ值,并随访至2岁比较两组伤残率。结果:抚触组和对照组,NBNA评分分别为(5.2±4.64)和(30.6±3.98),P<0.001;3月龄DQ值分别为(92.43±9.28)和(84.25±7.88),P<0.001;伤残率分别为5/48(10.41%)和13/50(26.00%),P<0.05,均有显著性差异。结论:抚触能有效促进HIE患儿的神经功能恢复,改善预后,减少伤残率。
Objective: To observe the intervention effect of touch on neonatal hypoxic-ischemic encephalopathy. Methods: A total of 152 children with moderate HIE were enrolled and randomly divided into two groups: 76 patients in the touch group and 76 patients in the control group. The control group was given conventional treatment. The touching group was given synaptic control on the basis of routine treatment, once a day for 15 minutes until the age of 3 months. NBNA scores and 3-month DQ values before and after treatment were compared between two groups and followed up to 2 years old to compare the disability rate between the two groups. Results: Compared with control group, NBNA score was (5.2 ± 4.64) and (30.6 ± 3.98), respectively, P <0.001; DQ values at 3 months were (92.43 ± 9.28) and (84.25 ± 7.88) 0.001; the disability rates were 5/48 (10.41%) and 13/50 (26.00%), respectively, P <0.05. There were significant differences. Conclusion: Touching can effectively promote the recovery of neurological function, improve the prognosis and reduce the disability in children with HIE.