以家庭为中心的早期干预在HIE治疗中的效果观察

张新春，李文艳，王巧红，兰亚红

（宝鸡市妇幼保健院儿童医院：1. 新生儿科；2.小儿神经内科与康复科，陕西 宝鸡，721000）

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摘要：

目的 探讨以家庭为中心的早期干预对新生儿缺氧缺血性脑病（HIE）治疗康复的影响。方法 将253例中重度HIE 患儿 按照治疗先后顺序随机分为干预组127例，对照组126例。对照组进行常规护理，干预组在常规护理基础上进行以家庭为中心的早期干预，统计比较两组患儿发育商（DQ）评分及后遗症发生率等情况。结果 干预组患儿的适应性、大运动、精细运动、语言及个人社交方面评分在6、12 月龄时均高于对照组，差异均具有统计学意义（P<0.05）；干预组患儿脑瘫和智力低下的发 生率均低于对照组，差异均具有统计学意义（P<0.05）。结论 以家庭为中心的早期干预可有效促进HIE 患儿神经发育，减少神经系统后遗症的发生，值得临床推广。

关键词：家庭为中心；早期干预；新生儿；缺氧缺血性脑病

中图分类号：R473.72文献标志码：A文章编号：2096-1413(2017)05-0192-03

The effect observation of family-centered early intervention in the treatment of HIE
ZHANG Xin-chun 1, LI Wen-Yan 2, WANG Qiao-hong 1, LAN Ya-hong 1
(1. Department of Neonatal; 2. Department of Pediatric Neurology and Rehabilitation, Baoji Maternal

and Children Hospital, Baoji 721000, China)

ABSTRACT: Objective To explore the rehabilitation effect of family -centered early intervention in the treatment of hypoxic-ischemic encephalopathy (HIE) in neonate. Methods Two hundred and fifty-three cases of children with moderate or severe HIE were randomly divided into intervention group (n=127) and control group (n=126) according to the order of the treatment sequence. The control group accepted routine nursing, while the intervention group accepted the family -centered early intervention on the basis of routing nursing. The developmental quotient (DQ) score and the incidence of sequelae between the two groups were compared. Results The scores of adaptability, large movement, fine motor, language and personal social contact of children in the intervention group at 6 months and 12 months were significantly higher than those of the control group (P<0.05); the incidence of cerebral palsy and mental retardation of children in the intervention group were significantly lower than that of the control group (P<0.05). Conclusion Family-centered early intervention can effectively promote the neural development of HIE children and reduce the incidence of neurological sequelae. It is worth of application in clinic.
KEYWORDS: family-centered care; early intervention; neonate; hypoxic-ischemic encephalopathy

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