智护训练对足月窒息新生儿行为神经发育水平的影响

doi:10.11852/zgetbjzz2019-0475

中国儿童保健杂志 ›› 2020, Vol. 28 ›› Issue (1): 96-99.DOI: 10.11852/zgetbjzz2019-0475

智护训练对足月窒息新生儿行为神经发育水平的影响

叶文雅^1,2, 张丽萍³, 赵益伟², 鲍瑜丽², 毛旭洁²

1 温州医科大学附属乐清医院,浙江乐清 325600;
2 乐清市人民医院,浙江乐清 325600;
3 温州医科大学附属第二医院,浙江温州 325000

收稿日期:2019-04-10 发布日期:2020-01-10 出版日期:2020-01-10
通讯作者: 张丽萍,E-mail :zlp80090@126.com
作者简介:叶文雅(1990-),女,浙江人,主管护师,硕士研究生在读,主要研究方向为儿童保健、新生儿危重症护理
基金资助:
温州市科技计划项目(2018Y1468)

Influence of intellectual protection training on neonatal behavioral neurological assessment level among asphyxiated term infants

YE Wen-ya^1,2, ZHANG Li-ping³, ZHAO Yi-wei², BAO Yu-li², MAO Xu-jie²

1 Yueqing Affiliated Hospital of Wenzhou Medical University, Yueqing, Zhejiang 325600, China;
2 People′s Hospital of Yueqing, Yueqing, Zhejiang 325600, China;
3 The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Received:2019-04-10 Online:2020-01-10 Published:2020-01-10
Contact: ZHANG Li-ping,E-mail:zlp80090@126.com

摘要/Abstract

摘要： 目的通过对足月窒息新生儿进行智护训练,观察其行为神经发育水平的变化。方法选择2018年1-12月在某三级医院新生儿病房住院的足月窒息新生儿79例,按随机数字表法,分为对照组(n=39)和智护组(n=40)。对照组采用常规护理,智护组在对照组基础上加用智护训练。对两组新生儿在生后第3、7、14、28天进行新生儿行为神经测定(NBNA)评分。结果生后第3天,两组新生儿NBNA评分差异无统计学意义(P>0.05);第7、14、28天时NBNA平均分智护组新生儿均高于对照组,且智护组NBNA结果异常比例也均低于对照组,但第7天时两组差异均无统计学意义(P＞0.05),14、28 d时两组差异均有统计学意义(P＜0.05)。结论对足月窒息新生儿长期坚持进行智护训练,有益于其行为神经发育水平的进步。

关键词: 窒息, 智护训练, 行为神经, 新生儿

Abstract: Objective To observe the influence of intellectual protection training on the neonatal behavioral neurological assessment(NBNA) score of asphyxiated term infants. Methods Totally 79 term infants treated in a tertiary hospital from January to December 2018 were enrolled in this study,and were divided into control group(n=39) and intellectual protection training group(n=40) by random number table.Routine newborn care was given to the control group,while intellectual protection training group received intellectual protection training additionally.NBNA score of two groups were assessed and compared in 3,7,14 and 28 days after birth. Results NBNA score significantly increased in the intellectual protection training group than the control group in 7,14 and 28 days after birth(P＜0.05),but there was no significant difference between the two groups in 3 days after birth.Moreover,the ratios of abnormal NBNA result in intellectual protection training group was significantly higher than those in control group in 14 and 28 days after birth(P＜0.05),but the difference was not significant in 7 days after birth. Conclusion It is beneficial to improve the neurodevelopment by insisting on long-term intellectual protection training for asphyxiated term infants.

Key words: asphyxia, intellectual protection training, behavioral neurology, infants

中图分类号:

R722.6

叶文雅, 张丽萍, 赵益伟, 鲍瑜丽, 毛旭洁. 智护训练对足月窒息新生儿行为神经发育水平的影响[J]. 中国儿童保健杂志, 2020, 28(1): 96-99.

YE Wen-ya, ZHANG Li-ping, ZHAO Yi-wei, BAO Yu-li, MAO Xu-jie. Influence of intellectual protection training on neonatal behavioral neurological assessment level among asphyxiated term infants[J]. journal1, 2020, 28(1): 96-99.

参考文献

[1] 余曼,张莹,申斌.双胎妊娠结局及分娩时机与分娩方式对新生儿窒息的影响[J].实用妇产科杂志,2018,34(11):844-847.
[2] Boskabadi H,Ashrafzadeh F,Doosti H,et al.Assessment of risk factors and prognosis in asphyxiated infants[J].Iran JPediatr,2015,25(4):2006-2011.
[3] Ahearne CE,Boylan GB,Murray DM.Short and long term prognosis in perinatal asphyxia:an update[J].World JClin Pediatr,2016,5(1):67-74.
[4] Phuc HD,Kido T,Manh HD,et al.A 28-year observational study of urinary cadmium and β2-microglobulin concentrations in inhabitants in cadmium-polluted areas in Japan[J].J Appl Toxicol,2016,36(12):1622-1628.
[5] McAdams RM,Juul SE.Neonatal encephalopathy:update on therapeutic hypothermia and other novel therapeutics [J].Clin Perinatol,2016,43(3):485-500.
[6] 邱小兵,陈雅莉,陈福建.智护训练联合水疗对0～2岁婴幼儿智能发育的影响[J].中国实用护理杂志,2016,32(35):2753-2756.
[7] 方芳,沈润华,李顺芝,等.智护训练对早产儿视听能力的影响[J].护理学杂志,2014,29(17):38-39.
[8] 吴淑明,郭淑艳.新生儿行为神经测定在足月窒息儿预后评估中的临床意义[J].中国妇幼保健,2014,29(35):5816-5818.
[9] 钱磊,王美荣,石红.新生儿行为神经测定在脑损伤早期评估中的临床价值[J].临床合理用药杂志,2018,11(1C):17-19.
[10] 张海燕,乔林霞,朱文英,等.NBNA评分联合头颅MRI在新生儿重度高胆红素血症脑损伤中的诊断价值[J].中国儿童保健杂志,2017,25(2):164-166.
[11] 彭奕贤,黄莉萍,黎静,等.孤立性侧脑室扩张胎儿的结局及其影像学随访的结果[J].中华妇产科杂志,2018,53(5):294-298.
[12] 石惠英,杨长仪,张宝泉,等.脑损伤足月新生儿振幅整合脑电图背景活动特点及其与新生儿行为神经测定评分的相关性[J].中华实用儿科临床杂志,2018,33(12):935-937.
[13] 陆岸锋,黄海燕,黄国盛,等.早产儿408例体格生长与神经运动发育纵向研究[J].中国儿童保健杂志,2018,26(5):472-478.
[14] 张惠月.新生儿窒息后器官损害、高危因素及转归临床研究[D].福州:福建医科大学,2017.
[15] Luo C,Yuan D,Zhao W,et al.Sevoflurane ameliorates intestinal ischemia-reperfusion-induced lung injury by inhibiting the synergistic action between mast cell activation and oxidative stress[J].Mol Med Rep,2015,12(1):1082-1090.
[16] Liu Z,Chopp M.Astrocytes,therapeutic targets for neuroprotection and neurorestoration in ischemic stroke[J].Prog Neurobiol,2016,144:103-120.
[17] 成莺莺.高胆红素血症对新生儿神经功能和情绪行为的影响[J].中国妇幼保健,2018,33(19):4440-4442.
[18] Monson BB,Anderson PJ,Matthews LG,et al.Examination of the pattern of growthof cerebral tissue volumes from hospital discharge to early childhood in very preterm infants[J].JAMA Pediatr,2016,170(8):772-779.
[19] Novak I,Morgan C,Adde L,et al.Early,accurate diagnosis and early intervention in cerebral palsy:advances in diagnosis and treatment[J].JAMA Pediatr,2017,171(9):897-907.
[20] 沈润华,李霞,谢玉兰,等.智护干预对早产儿视听能力的临床应用研究[J].齐齐哈尔医学院学报,2015,36(18):2769-2770.
[21] 曹燕.智护训练对早产儿视听能力和家属满意度的影响[J].国际护理学杂志,2017,36(22):3097-3099.
[22] 魏秀丽,洪芳.在抚触室中进行智护训练配合游泳对婴儿早期生长发育及家属满意度的影响[J].中国妇幼保健,2016,31(4):741-743.

智护训练对足月窒息新生儿行为神经发育水平的影响

Influence of intellectual protection training on neonatal behavioral neurological assessment level among asphyxiated term infants

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