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1、临床与病理杂志2017,37(4)http://lcbl.amegroups.com684JClinPatholResdoi:10.3978/j.issn.2095-6959.2017.04.006Viewthisarticleat:http://dx.doi.org/10.3978/j.issn.2095-6959.2017.04.006延续性护理干预对极低出生体重早产儿婴儿期神经发育的影响1,22221姜敏,张晓艳,潘晋洲,何淑贞,杨辉(1.山西医科大学护理学院,太原030001;2.山西省儿童医院新生儿重症监护室,太
2、原030001)[摘 要]目的:探讨延续性护理干预对极低出生体重早产儿婴儿期神经发育的影响。方法:抽取2015年1至12月自山西省儿童医院出院的符合纳入条件的极低出生体重儿(verylowbirthweightinfant,VLBWI)174例,随机分为对照组(n=87)和观察组(n=87)。对照组采用常规护理,观察组在常规护理基础上开展延续性护理干预;收集两组VLBWI的0,6,9及12月龄体重等指标进行生长发育评价;运用《0~6岁小儿神经心理发育量表》,对大运动、语言等5个能区进行神经发育评价。结果:实验组患儿身长及体
3、重均高于对照组,差异具有统计学意义(P<0.05),头围与对照组相比无明显改变;实验组患儿的各能区发育商(developmentquotient,DQ)均高于对照组,差异具有统计学意义(P<0.001)。结论:延续护理干预可促进极低出生体重患儿婴儿期神经发育,是改善其预后和提高生活质量的有效手段。[关键词]延续性护理;极低出生体重儿;神经发育;发育商;干预Effectofcontinuityofcareinterventiononintellectualdevelopmentinverylowbirthweightprem
4、atureinfants1,22221JIANGMin,ZHANGXiaoyan,PANJinzhou,HEShuzhen,YANGHui(1.NursingCollege,ShanxiMedicalUniversity,Taiyuan030001;2.NeonatalIntensiveCareUnit,Children’sHospitalofShanxiProvince,Taiyuan030001,China)AbstractObjective:Toevaluatetheeffectofcontinuityofcareo
5、nneuraldevelopmentinverylowbirthweightprematureinfants.Methods:Usingrandomizedcontrolledtraildesign,174verylowbirthweightprematureinfantsweredividedintotwogroups.Totally87casescompletedthetrialineachgroup.Thecontrolgroupsweregivenroutineoutpatientcare.Inaddition,t
6、heexperimentalgroupreceivedcontinuityofcare.Infants’neurologicalassessmentwerecarriedbyusing“0to6yearsoldchildren’sneuropsychologicaldevelopmentscale”;bodyheight,bodyweightandheadcircumferencewerecollectedatthepointof0,6th9thand12thmonth.Results:Bodyheightandbodyw
7、eightintheexperimentalgroupweresignificantlyhigherthanthoseofthecontrolgroup,thedifferenceswerestatisticallysignificant(P<0.05),andtherewasnosignificanceintheindexofheadcircumference;thedevelopmentquotientandeachfunctionregionofscaleintheexperimentalgroupwerehighe
8、rthanthoseinthecontrolgroup(P<0.001).Conclusion:Continuityofcarecanpromoteverylowbirthweightprematureinfants’intellectualdevelopment,whichmaybeaneffecti