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目的探讨预案管理抢救护理在新生儿缺氧缺血性脑病(HIE)急救中的应用效果。方法选取2014年4月至2016年10月该院收治的新生儿缺氧缺血性脑病100例,2015年8月前收治的HIE 50例设为对照组,采用常规急救护理措施;2015年7月后收治的HIE 50例设为观察组,采用预案管理抢救护理。比较两组患儿抢救效果、复苏前及复苏后5分钟Apgar评分、护理质量评分。结果观察组总抢救时间明显短于对照组,复苏后5分钟Apgar评分明显高于对照组,抢救效率、救护技术、抢救效果、人文关怀评分及总分均明显高于对照组,差异有统计学意义。结论新生儿缺氧缺血性脑病实行预案管理抢救护理效果良好,使复苏工作准备更充分,衔接更流畅,为患儿抢救赢得最佳时机。
Objective To investigate the effect of emergency management of emergency rescue in neonatal hypoxic-ischemic encephalopathy (HIE). Methods 100 cases of neonatal hypoxic-ischemic encephalopathy admitted from April 2014 to October 2016 in our hospital and 50 cases of HIE admitted before August 2015 as the control group were enrolled in the routine first-aid care. In 2015 7 50 cases of HIE admitted after the month were set as the observation group, using the plan to manage rescue and care. The salvage effect, Apgar score and nursing quality score before and 5 minutes after resuscitation were compared between the two groups. Results The total rescue time of the observation group was significantly shorter than that of the control group. The Apgar score at 5 minutes after resuscitation was significantly higher than that of the control group. The rescue efficiency, rescue technique, salvage effect, humanistic care score and total score were significantly higher than those of the control group significance. Conclusion Hypoxic-ischemic encephalopathy neonatal management plan to implement effective emergency care and care, so that the recovery work is more fully prepared, the connection is more fluid, the best chance for the rescue of children.