孟凡艳 李迎欣 谭盛玉

【摘要】 目的：分析缺血缺氧患兒应用改良早期预警评分联合袋鼠式干预的效果。方法：选取2019年11月-2020年11月本院治疗的缺血缺氧患儿142例作为研究对象，按照入院顺序分为对照组和研究组，每组71例。对照组采用常规干预，研究组采用改良早期预警评分联合袋鼠式干预，比较两组营养疾病发生情况、神经发育情况及转院率、干预评估率、住院时间及出院率。结果：研究组消瘦、贫血、营养不良、发育迟缓等营养疾病发生率为2.83%，低于对照组的18.31%（P<0.05）;研究组一般反应、原始反应、主动肌张力、被动肌张力、行为能力及神经发育总分均高于对照组（P<0.05）;研究组转院率为1.41%，低于对照组的14.08%（P<0.05）;研究组住院时间短于对照组（P<0.05）;研究组干预评估规范率为97.18%、出院率为98.59%，均高于对照组的81.69%、80.28%（P<0.05）。结论：缺血缺氧患儿采用改良早期预警评分联合袋鼠式干预，能提高工作人员对病情评估的准确性，减少营养不良疾病发生，促进机体神经功能恢复的同时，提高治疗效果。

【关键词】 改良早期预警评分 袋鼠式干预 缺血缺氧疾病 新生儿

[Abstract] Objective： To analyze the effect of modified early warning score combined with kangaroo intervention on hypoxic-ischemic neonate. Method： A total of 142 cases of children with hypoxia-ischemia treated in our hospital from November 2019 to November 2020 were selected as the research objects， according to the order of admission they were divided into the control group and the study group， 71 cases in each group. The control group used routine intervention， and the study group used improved early warning score combined with kangaroo intervention， the occurrence of nutritional diseases， neurodevelopmental status and transfer rate， intervention evaluation rate， hospitalization time and discharge rate between two groups were compared. Result： The incidence of wasting， anemia， malnutrition， stunting and other nutritional diseases in the study group was 2.83%， it was less than 18.31% in the control group （P<0.05）. The general reaction， original reaction， active muscle tension， passive muscle tension， behavioral ability and total score of nerve development in the study group were higher than those in the control group （P<0.05）. The rate of transfer in the study group was 1.41%， it was less than 14.08% in the control group （P<0.05）. The length of stay in the study group was shorter than that in the control group （P<0.05）. The standard rate of intervention evaluation in the study group was 97.18%， and the discharge rate was 98.59%， they were better than 81.68% and 80.28% of the control group （P<0.05）. Conclusion： Hypoxic-ischemic neonate with improved early warning score combined with kangaroo intervention can improve the accuracy of nursing staffs evaluation of the condition， and reduce the occurrence of malnutrition， promote the recovery of nervous function， and improve the therapeutic effect.

[Key words] Improved early warning score Kangaroo nursing Hypoxic-ischemic disease Newborn

First-authors address： Jiamusi Maternal and Child Health Hospital， Jiamusi 154002， China

doi：10.3969/j.issn.1674-4985.2021.09.024

缺血缺氧为新生儿发病率较高的不良症状，其主要发生在围生期，症状严重患儿会引发一系列脑病，对新生儿的健康和生命造成威胁。缺血缺氧极易对脑组织、神经造成损伤，使患儿出现神经行为功能障碍，导致治疗期间营养疾病发生，严重者甚至出现永久性神经损伤，增加新生儿的致残率和死亡率[1]。目前，治疗方法较多，虽然可取得一定的治疗效果，但仍需对患儿进行科学、完善的干预措施，提高工作人员整体工作质量的同时，最大程度减轻疾病对脑部的损伤，促进疾病快速康复[2]。以往常规干预只重视疾病本身，忽略病情评估和针对性的干预，因此，本次研究选取142例缺血缺氧新生儿，分析应用改良早期预警评分联合袋鼠式干预取得效果，现报道如下。

1 资料与方法

1.1 一般资料 选取2019年11月-2020年11月在本院进行治疗的142例缺血缺氧新生儿作为研究对象。……