摘要
目的探讨发展性照顾对极低出生体重儿住院期间生长发育的影响。方法将新生儿重症监护病房收治的100例成活的极低出生体重儿随机分为观察组和对照组各50例,对照组采用常规护理,观察组采用发展性照顾,比较两组极低出生体重儿的住院情况、生长发育、相关并发症等。结果两组极低出生体重儿的胎龄、出生体重、出生头围等差异无显著性(P>0.05);恢复出生体重的时间、达到全肠内营养时间、平均住院的天数均少于对照组(P﹤0.01);每日睡眠时间大于对照组(P>0.01);观察组恢复出生体重后平均体重增长率、每周头围增长的速度、每周身长增长的速度均快于对照组(P>0.01);呼吸暂停、喂养不耐受、坏死性小肠结肠炎、早产儿视网膜病的发生率均少于对照组(P>0.01)。结论发展性照顾护理模式能加快极低出生体重儿的生长发育,缩短住院时间,减少并发症,提高患者生存质量。
Objective To discussion the effect of developmental care on the growth and development of new-born of extremely low weight during hospital stays. Methods 100 new-born（VLEW） babies were divided into the observation group and the control group, and each group had 50 patients. The observation group was also given developmental care in addition to routine care while the control group was given routine nursing. General information growth、development and complications were compared. Results The neonates had no difference in gestational age, birth weight and head circumference between the both groups（P〉0.05）. Compared with neonates in the control group, the neonates in observation group needed shorter time to recover birth weight, to reach full enteral nutrition and to leave hospital（P〈0.01）,while they needed longer time to sleep every day（P〈0.01）. Compared with neonates in the control group, the neonates in observation group had faster growth rate of weight, head circumference and height（P〈0.01）, while they had lower incidence rate of apnea, feeding intolerance, NEC and ROP（P〈0.01）. Conclusion The developmental care can be beneficial in growth and development of VLEW, short hospital stays, reduce complications and improve the quality of life of neonates.
出处
《菏泽医学专科学校学报》
2015年第2期71-74,共4页
Journal of Heze Medical College
关键词
发展性照顾
极低出生体重儿
生长发育
Developmental care
New-born of extremely low weight
Growth and development
