黄银娟

[摘要] 目的 探讨采用鸟巢式护理降低早产儿并发症效果观察。 方法 回顾性分析2014年2月～2016年7月于本院收治早产儿200例，根据护理干预措施不同将其分为鸟巢式组和常规组，各100例，常规组给予常规护理，鸟巢式组在此基础上给予鸟巢式护理，统计分析两组患儿干预后体重、头围及身长的增长、并发症发生情况。 结果 鸟巢式组体重、头围及身长增长均高于常规组，差异有统计学意义（P<0.05）；鸟巢式组呼吸暂停、硬肿症及喂奶不耐受的发生率均低于常规组，差异有统计学意义（P<0.05）。 结论 采用鸟巢式护理能有效降低早产儿并发症，促进其生长发育，值得临床作进一步推广。

[关键词] 鸟巢式护理；早产儿；并发症；硬肿症

[中图分类号] R473.72 [文献标识码] A [文章编号] 2095-0616（2017）14-115-03

Curative effect observation of NiaoChaoShi care in reduction of the complications in preterm neonates

HUANG Yinjuan

Department of Neonate，Huizhou City First Maternal And Child Care Service Centre，Huizhou 516001，China

[Abstract] Objective To discuss the curatinve effect of Niaochaoshi care reduce the complications in preterm neonates. Methods 200 preterm neonates from February 2014 to July 2016 in our Hospital were selected.According to the nursing interventions，they were divided into the Niaochaoshi group and the control group，each group of 50 cases.Patients in control group were treated with conventional nursing，and patients in Niaochaoshi group were treated with Niaochaoshi care on the basis of control group.The preterm neonates body weight，head circumference and height growth，complications of the two groups were statistical analyzed. Results Body weight，head circumference and height growth of the Niaochaoshi group were significantly higher than those of control group，and there was statistically significant difference （P<0.05）.Apnea，hard swollen disorder and the incidence of feeding intolerance were significantly lower than the control group，and there was statistically significant difference （P<0.05）. Conclusion Niaochaoshi nursing can effectively reduce the premature infant complications，promote the growth and development.It is worth for further clinical promotion.

[Key words] Niaochaoshi care；Preterm neonates；Complications；Hard swollen disease

早產儿各器官发育尚不完善，而容易发生各种并发症，如呼吸中枢发育不成熟而容易出现呼吸不规律、呼吸暂停等，体位调节中枢发育不完善而容易引发硬肿症，吸吮力弱、吞咽功能差等而容易导致其出现喂养不耐受等，从而影响患儿生长发育和预后[1-2]。有研究性显示，科学的护理能有效降低早产儿的并发症，促进其康复[3-4]。目前临床一般使用保温箱对早产儿进行治疗及护理，而早产儿四肢需要暴露于暖箱，使患儿缺少安全感及舒适感[5]。对此近年来国内外发展一种鸟巢式护理方法用于早产儿，有研究显示，鸟巢式护理能使早产儿心率及呼吸平稳，喂奶量增多，体重增长加快，而改善预后[6-7]。本研究对在产儿实施鸟巢式护理，希望能减少其并发症发生，增长体重、头围及身长的增长速度，现报道如下。

1 资料与方法

1.1 一般资料

回顾性分析2014年2月～2016年7月于本院收治早产儿200例，根据护理干预措施不同将其分为鸟巢式组和常规组，各100例。……