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1、临床与病理杂志2017,37(4)http://lcbl.amegroups.com684JClinPatholResdoi:10.3978/j.issn.2095-6959.2017.04.006Viewthisarticleat:http://dx.doi.org/10.3978/j.issn.2095-6959.2017.04.006延续性护理干预对极低出生体重早产儿婴儿期神经发育的影响1,22221姜敏，张晓艳，潘晋洲，何淑贞，杨辉(1.山西医科大学护理学院，太原030001；2.山西省儿童医院新生儿重症监护室，太
2、原030001)[摘 要]目的：探讨延续性护理干预对极低出生体重早产儿婴儿期神经发育的影响。方法：抽取2015年1至12月自山西省儿童医院出院的符合纳入条件的极低出生体重儿(verylowbirthweightinfant，VLBWI)174例，随机分为对照组(n=87)和观察组(n=87)。对照组采用常规护理，观察组在常规护理基础上开展延续性护理干预；收集两组VLBWI的0，6，9及12月龄体重等指标进行生长发育评价；运用《0~6岁小儿神经心理发育量表》，对大运动、语言等5个能区进行神经发育评价。结果：实验组患儿身长及体
3、重均高于对照组，差异具有统计学意义(P<0.05)，头围与对照组相比无明显改变；实验组患儿的各能区发育商(developmentquotient，DQ)均高于对照组，差异具有统计学意义(P<0.001)。结论：延续护理干预可促进极低出生体重患儿婴儿期神经发育，是改善其预后和提高生活质量的有效手段。[关键词]延续性护理；极低出生体重儿；神经发育；发育商；干预Effectofcontinuityofcareinterventiononintellectualdevelopmentinverylowbirthweightprem
4、atureinfants1,22221JIANGMin,ZHANGXiaoyan,PANJinzhou,HEShuzhen,YANGHui(1.NursingCollege,ShanxiMedicalUniversity,Taiyuan030001;2.NeonatalIntensiveCareUnit,Children’sHospitalofShanxiProvince,Taiyuan030001,China)AbstractObjective:Toevaluatetheeffectofcontinuityofcareo
5、nneuraldevelopmentinverylowbirthweightprematureinfants.Methods:Usingrandomizedcontrolledtraildesign,174verylowbirthweightprematureinfantsweredividedintotwogroups.Totally87casescompletedthetrialineachgroup.Thecontrolgroupsweregivenroutineoutpatientcare.Inaddition,t
6、heexperimentalgroupreceivedcontinuityofcare.Infants’neurologicalassessmentwerecarriedbyusing“0to6yearsoldchildren’sneuropsychologicaldevelopmentscale”;bodyheight,bodyweightandheadcircumferencewerecollectedatthepointof0,6th9thand12thmonth.Results:Bodyheightandbodyw
7、eightintheexperimentalgroupweresignificantlyhigherthanthoseofthecontrolgroup,thedifferenceswerestatisticallysignificant(P<0.05),andtherewasnosignificanceintheindexofheadcircumference;thedevelopmentquotientandeachfunctionregionofscaleintheexperimentalgroupwerehighe
8、rthanthoseinthecontrolgroup(P<0.001).Conclusion:Continuityofcarecanpromoteverylowbirthweightprematureinfants’intellectualdevelopment,whichmaybeaneffecti
