张小翼

【摘要】 目的：探讨循证护理在新生儿缺氧缺血性脑病（HIE）中的应用价值。方法：以2017年12月-2018年12月笔者所在医院儿科接诊的70例新生儿HIE作为研究对象，按随机数字表法将其分为两组，各35例。对照组患儿实施常规护理，观察组患儿实施循证护理。比较两组治疗效果、PDI评分、MDI评分及并发症发生率。结果：护理后，两组患儿PDI、MDI评分均明显升高（P<0.05），且观察组升高程度优于对照组，差异有统计学意义（P<0.05）。观察组治疗总有效率高于对照组，差异有统计学意义（P<0.05）。观察组患儿并发症发生率较对照组低，差异有统计学意义（P<0.05）。结论：在新生儿HIE护理中运用循证护理，可提高治疗效果，改善新生儿智力发展和运动发育水平，并可减少并发症的发生，临床应用价值较高，值得临床推广。

【关键词】 循证护理 新生儿缺氧缺血性脑病 应用价值

doi：10.14033/j.cnki.cfmr.2019.29.050 文献标识码 B 文章编号 1674-6805（2019）29-0-03

[Abstract] Objective： To explore the application value of evidence-based nursing in neonates with hypoxic-ischemic encephalopathy （HIE）. Method： A total of 70 neonates with HIE admitted in the department of pediatrics of our hospital from December 2017 to December 2018 were selected as the study objects. According to the random number method， they were divided into two groups， with 35 cases in each group. The control group was given routine nursing， while the observation group was given evidence-based nursing. The treatment effects， PDI and MDI scores and the incidence of complications of the two groups were compared. Result： After nursing， PDI and MDI scores of children in both groups were significantly increased （P<0.05）， and the degree of increase in the observation group was better than that in the control group， the difference was statistically significant （P<0.05）. The total effective rate of the observation group was higher than that of the control group， the difference was statistically significant （P<0.05）. The incidence of complications in the observation group was lower than that in the control group， the difference was statistically significant （P<0.05）. Conclusion： The application of evidence-based nursing in the nursing of neonates with HIE can improve the therapeutic effect， improve the intelligence development and motor development level of neonates， and reduce the occurrence complications， and has high clinical value， which is worthy of clinical promotion.

[Key words] Evidence-based nursing Neonates hypoxic-ischemic encephalopathy Application value

First-authors address： Xiaonan District Maternal and Child Health Hospital of Xiaogan City， Xiaogan 432000， China

缺氧缺血性腦病（HIE）多发于新生儿群体，主要是由于新生儿在围手术期因多种因素引发脑组织缺氧缺血的脑部病变，如胎儿宫内窘迫（羊水异常、脐带绕颈等）、窒息缺氧等[1]。若发病后未给予及时有效的治疗，会出现癫痫、脑瘫等后遗症，致使婴幼儿残疾或对神经系统造成永久性伤害、智力发育异常，具有较高的致残率和致死率[2]。临床上主要表现为呼吸心搏骤停、意识障碍、口唇发绀，甚至出现休克、重症肌无力、CO中毒等症状，不仅影响婴幼儿的身体健康，也对后期智力、运动等的发育不利[3]。因此，加强对新生儿HIE的护理，对提高抢救率、降低新生儿死亡率有着重要的意义。本文特选取近1年来笔者所在医院诊治的70例新生儿HIE进行分组试验，探究循证护理在新生儿HIE护理中的应用价值，取得了理想的效果，现汇报如下。

1 资料与方法

1.1 一般资料

以2017年12月-2018年12月笔者所在医院儿科接诊的70例新生儿HIE作为研究对象，排除合并有宫内感染、先天畸形、体重偏轻及颅内出血等患儿。……