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

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