Department of Obstetrics, The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, 150040 Heilongjiang, China.
Comput Math Methods Med. 2022 Jun 16;2022:9379361. doi: 10.1155/2022/9379361. eCollection 2022.
This research focuses on the effectiveness of the clinical nursing pathway (CNP) in the treatment of infant hypoxic-ischemic encephalopathy (NHIE). This research enrolled 120 cases of NHIE admitted to the First Affiliated Hospital of Heilongjiang University of Chinese Medicine, including 70 cases (research group, the Res) who received CNP intervention and 50 cases (control group, the Con) treated by routine nursing pathway intervention. The psychomotor development index (PDI), mental development index (MDI), neurodevelopment (ND), physique growth, and incidence of adverse events (AEs) were recorded and analyzed. The results identified that in comparison with the Con (1) the PDI and MDI were obviously better in the Res 6 months postintervention; (2) the Res had significantly superior ND of behavioral capacity, passive tone, active tone, primitive reflex, and general assessment 1 month after intervention, as well as physical development of body weight, height, and head circumference after 40 days of birth, (3) the incidence of total AEs within 40 days was statistically lower in the Res. As a result, CNP is considerably superior to the traditional nursing pathway in the treatment of NHIE, and it merits clinical promotion.
本研究聚焦于临床护理路径（CNP）在治疗婴儿缺氧缺血性脑病（NHIE）中的效果。该研究纳入了 120 例在黑龙江中医药大学附属第一医院接受治疗的 NHIE 患儿，包括 70 例接受 CNP 干预的病例（研究组，Res）和 50 例接受常规护理路径干预的病例（对照组，Con）。记录并分析了精神运动发育指数（PDI）、精神发育指数（MDI）、神经发育（ND）、体格生长情况和不良事件（AE）的发生率。结果显示，与 Con 相比：（1）Res 在干预后 6 个月的 PDI 和 MDI 明显更好；（2）Res 在干预后 1 个月时行为能力、被动肌张力、主动肌张力、原始反射和总体评估的 ND 显著更优，且在出生后 40 天的体重、身高和头围的体格发育也更好；（3）Res 在出生后 40 天内的总 AE 发生率明显更低。综上，CNP 在 NHIE 的治疗中明显优于传统护理路径，值得临床推广。
