实施新生儿早期基本保健技术对新生儿结局的影响研究
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摘要
目的研究实施新生儿早期基本保健(EENC)技术对新生儿结局的影响。方法随机抽取50例2018年1～6月在我院正常分娩且实施EENC技术的新生儿作为观察组,随机抽取50例同期在我院正常分娩且未实施常规保健技术的新生儿作为对照组,比较两组新生儿的窒息、重度窒息及24h内肺炎的发生情况以及72h内住院情况。结果观察组中新生儿窒息、重度窒息、24h内肺炎及72h内住院发生几率分别为2.00%、0、4.00%、6.00%,对照组相应的分别为4.00%、2.00%、10.00%及14.00%,两组差异有统计学意义(P <0.05),而两组新生儿72h内高胆红素血症发生几率则差异无统计学意义(P> 0.05),观察组患者Apgar评分显著高于对照组,差异有统计学意义(P <0.05)。结论新生儿早期保健技术的应用能够有效的改善新生儿的身体状况,可以有效的降低窒息、严重窒息、24h内肺炎发生率以及72h内住院率。此外,实施该技术减低家属经济负担,得到了新生儿家属的一致肯定和赞扬,缓解了医患关系,大大降低了医疗纠纷事件的发生,有推广应用价值。
Objective To study the effects of Early Essential Newborn Care(EENC)on neonatal outcomes.Methods Fifty neonates who underwent normal delivery and implemented EENC technology in our hospital from January 2018 to June 2018 were randomly selected as the observation group,another 50 neonates who had normal delivery without EENC were collected as the control group.The incidence of asphyxia,severe asphyxia,pneumonia within 24 h and hospitalization within 72 h were compared between the two groups. Results The incidence of neonatal asphyxia,severe asphyxia,pneumonia within 24 h,hospitalization and hyperbilirubinemia within 72 h in the observation group were 2.00%,0,4.00% and 6.00%,respectively,while the rates in the control group were 4.00%,2.00%,10.00%and 14.00%,respectively.The difference between the two groups was significant(P < 0.05).There was no significant difference in the incidence of hyperbilirubinemia between the two groups within 72 h(P > 0.05).The Apgar score in the observation group was significantly higher than that in the control group(P < 0.05). Conclusion The application of Early Essential Newborn Care technology can effectively improve the physical condition of newborns;effectively reduce the incidence of asphyxia,severe asphyxia,pneumonia within 24 hours and hospitalization rate within 72 hours.In addition,the implementation of this technology can reduce the economic burden of family members.The EENC receives unanimous praise from the newborn's family members,and helps to ease the doctor-patient relationship,greatly reduce the occurrence of medical disputes,which has the value of promotion and application.
Objective To study the effects of Early Essential Newborn Care(EENC)on neonatal outcomes.Methods Fifty neonates who underwent normal delivery and implemented EENC technology in our hospital from January 2018 to June 2018 were randomly selected as the observation group,another 50 neonates who had normal delivery without EENC were collected as the control group.The incidence of asphyxia,severe asphyxia,pneumonia within 24 h and hospitalization within 72 h were compared between the two groups. Results The incidence of neonatal asphyxia,severe asphyxia,pneumonia within 24 h,hospitalization and hyperbilirubinemia within 72 h in the observation group were 2.00%,0,4.00% and 6.00%,respectively,while the rates in the control group were 4.00%,2.00%,10.00%and 14.00%,respectively.The difference between the two groups was significant(P < 0.05).There was no significant difference in the incidence of hyperbilirubinemia between the two groups within 72 h(P > 0.05).The Apgar score in the observation group was significantly higher than that in the control group(P < 0.05). Conclusion The application of Early Essential Newborn Care technology can effectively improve the physical condition of newborns;effectively reduce the incidence of asphyxia,severe asphyxia,pneumonia within 24 hours and hospitalization rate within 72 hours.In addition,the implementation of this technology can reduce the economic burden of family members.The EENC receives unanimous praise from the newborn's family members,and helps to ease the doctor-patient relationship,greatly reduce the occurrence of medical disputes,which has the value of promotion and application.
引文
[1]李夏芸,岳青,王燕,等.教练式培训在新生儿早期基本保健技术推广中的应用及效果评价研究[J].中国儿童保健杂志,2017,25(7):750-754.
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[7]虞人杰,叶鸿瑁,黄醒华,等.新生儿窒息复苏指南(试行稿)[J].中华围产医学杂志,2005,8(6):379-382.
[8]徐韬,岳青,王惠珊,等.第二周期中国新生儿复苏项目实施效果评价[J].中华围产医学杂志2017,20(5):346-351.
[9]李瑜,王光花,曹志娟,等.妊娠期高血压及子痫前期对妊娠及新生儿结局的影响研究[J].中国儿童保健杂志,2016,24(5):458-461.
[10]李夏芸,徐韬.世界卫生组织新生儿早期基本保健技术的理论与实践[J].中华围产医学杂志,2017,20(9):109-111.
[11]殷春,花香,李梅,等.新生儿“第一次拥抱”对母乳喂养成功率的影响[J].护理实践与研究,2017,14(24):83-84.
[12]冯瑜,池桂红,赵丽萍,等.新生儿早期基础保健项目实施对正常分娩足月儿患病的影响[J].中国妇幼健康研究,2017,28(11):112-114.
[13]李瑜,王光花,曹志娟,等.妊娠期高血压及子痫前期对妊娠及新生儿结局的影响研究[J].中国儿童保健杂志,2016,24(5):458-461.
[14]张晓玲.孕期保健对高龄产妇及新生儿并发症及妊娠结局的影响研究[J].河南医学研究,2017,26(21):3967-3968.
[15]黄冬梅.高危妊娠对分娩方式及新生儿早期结局的影响[J].哈尔滨医药,2016,36(1):21-23.
[2]World Health Organization.Action plan for healthy newborn infants in the Western Pacific Region(2014-2020)[R].Geneva:World Health Organization,2014:1-20.
[3]World Health Organization.Early Essential Newborn Care:Clinical practice pocket guide[R].Geneva:World Health Organization,2016:1-35.
[4]Anderson GC,Moore E,Hepworth J,et al.Early skinto-skin contact for mothers and their healthy newborn infants[J].Birth,2003,30(3):206-207.
[5]Brandtzage PE.Current understanding of gastrointestinal immunoregulation and its relation to food allergy[J].Ann N Y Acad Sci,2002,964:13-45.
[6]孙屹梅,刘艳,杜晨光.不同断脐时间对产妇和新生儿结局影响的临床研究[J].河北医科大学学报,2017,38(7):793-796.
[7]虞人杰,叶鸿瑁,黄醒华,等.新生儿窒息复苏指南(试行稿)[J].中华围产医学杂志,2005,8(6):379-382.
[8]徐韬,岳青,王惠珊,等.第二周期中国新生儿复苏项目实施效果评价[J].中华围产医学杂志2017,20(5):346-351.
[9]李瑜,王光花,曹志娟,等.妊娠期高血压及子痫前期对妊娠及新生儿结局的影响研究[J].中国儿童保健杂志,2016,24(5):458-461.
[10]李夏芸,徐韬.世界卫生组织新生儿早期基本保健技术的理论与实践[J].中华围产医学杂志,2017,20(9):109-111.
[11]殷春,花香,李梅,等.新生儿“第一次拥抱”对母乳喂养成功率的影响[J].护理实践与研究,2017,14(24):83-84.
[12]冯瑜,池桂红,赵丽萍,等.新生儿早期基础保健项目实施对正常分娩足月儿患病的影响[J].中国妇幼健康研究,2017,28(11):112-114.
[13]李瑜,王光花,曹志娟,等.妊娠期高血压及子痫前期对妊娠及新生儿结局的影响研究[J].中国儿童保健杂志,2016,24(5):458-461.
[14]张晓玲.孕期保健对高龄产妇及新生儿并发症及妊娠结局的影响研究[J].河南医学研究,2017,26(21):3967-3968.
[15]黄冬梅.高危妊娠对分娩方式及新生儿早期结局的影响[J].哈尔滨医药,2016,36(1):21-23.
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