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目的:探讨微量元素筛查联合预防性护理干预在新生儿中的应用及临床效果。方法:将2005年6月～2009年6月住院分娩的1 148例初产妇及其新生儿作为对照组,给予常规治疗护理;将2009年6月～2012年6月住院分娩的1 074例初产妇及其新生儿作为观察组,对正常新生儿与窒息新生儿分别进行微量元素检测及对比分析,并对高危患儿进行预防性护理干预。比较两组新生儿窒息率及窒息患儿的智力发育(MDI)情况。结果:观察组新生儿窒息率低于对照组(P<0.05),MDI情况优于对照组(P<0.05);观察组正常新生儿Cu、Zn、Ca、Mg、Fe显著低于窒息新生儿(P<0.05)。结论:微量元素筛查联合早期护理干预对预防新生儿窒息和减轻窒息患儿脑损伤所致智力障碍效果确切,值得临床推广应用。
Objective: To explore the application of trace element screening combined with preventive nursing intervention in neonates and its clinical effect. Methods: From January 2005 to June 2009, 1,148 primipara and hospitalized newborns in hospital were given routine care and nursing care; 1074 cases of hospital delivery from June 2009 to June 2012 Maternal and newborn as observation group, normal neonates and asphyxia neonates were detected by microelements and comparative analysis, and high-risk children with preventive nursing intervention. The incidence of asphyxia and mental development (MDI) in both groups were compared between the two groups. Results: The newborn asphyxia rate in the observation group was lower than that in the control group (P <0.05), and the MDI was better than the control group (P <0.05). Cu, Zn, Ca, Mg and Fe in the normal newborns in the observation group were significantly lower than those in the asphyxia neonates (P <0.05). Conclusion: The combination of trace element screening and early nursing intervention is effective in preventing neonatal asphyxia and reducing mental retardation caused by brain injury in children with asphyxia, so it is worthy of clinical application.