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目的:探讨早期综合护理干预对新生儿缺氧缺血性脑病(HIE)患儿的智力和运动功能发育的影响。方法:将62例患儿采用抛掷硬币的方法分为观察组32例和对照组30例,两组患儿均给予常规护理,观察组加用早期综合护理干预,不同时间点采用婴幼儿智能发育测试量表测定患儿的智力发育指数(MDI)和运动发育指数(PDI),24个月评价总发育商(DQ)。结果:入组前,两组患儿PDI、MDI评分比较,差异无统计学意义(P>0.05);入组后3、6、12个月,观察组患儿PDI、MDI评分高于对照组,差异有统计学意义(P<0.05)。入组24个月,观察组患儿适应能力、大运动能力、精细运动能力、语言能力和社交能力评分均高于对照组,差异有统计学意义(P<0.05)。结论:早期综合护理干预可改善HIE患儿的智力和运动功能发育,促进综合能力的提高。
Objective: To investigate the effects of early comprehensive nursing intervention on the development of intelligence and motor function in neonates with hypoxic-ischemic encephalopathy (HIE). Methods: Totally 62 children were divided into observation group (32 cases) and control group (30 cases). The two groups of children were given routine nursing. The observation group combined with early comprehensive nursing intervention, and the intelligence development of infants and young children The test scale was used to measure the mental development index (MDI) and motor development index (PDI) of children, and the total developmental age (DQ) was evaluated 24 months later. Results: There was no significant difference in PDI and MDI scores between the two groups before enrollment (P> 0.05). At 3, 6 and 12 months after enrollment, PDI and MDI scores in the observation group were higher than those in the control group , The difference was statistically significant (P <0.05). At 24 months, the scores of adaptability, big exercise ability, fine motor ability, verbal ability and social ability in observation group were higher than those in control group, with statistical significance (P <0.05). Conclusion: Early comprehensive nursing intervention can improve the development of intelligence and motor function in children with HIE and promote the improvement of comprehensive ability.