标题：基于循证的袋鼠式护理模式对早产儿综合发育的影响

      作者：谢海清，覃嫏颖，吉初灵，朱玲珍，蒙莉萍    海南医学院第一附属医院儿科，海南 海口 570102

      卷次： 2021年32卷3期

      【摘要】 目的 探讨基于循证的袋鼠式护理模式对早产儿生长发育和神经系统发育的效果。方法 选择海南医学院第一附属医院儿科 2018年 12月至 2019年 11月收治的 300例早产儿为研究对象。根据胎龄分组，其中186例胎龄≥34周者为A组，114例胎龄＜34周者为B组。应用随机数表法将A组早产儿分为试验组A和对照组A，每组93例。应用随机数字表法将B组早产儿分为试验组B和对照组B，每组57例。对照组早产儿给予早产儿常规护理及随访。试验组在此基础上，实施袋鼠式护理。比较各组早产儿的生命体征、母乳喂养情况、生长发育指标及神经行为发育情况[采用新生儿行为神经测定(NBNA)评分表评估]，以及住院时间。结果 实施基于循证的袋鼠式护理后，出生后6 h时，试验组A早产儿生命体征较稳定，且优于对照组A，试验组B早产儿生命体征较稳定，且优于对照组B，差异均有统计学意义(P<0.05)；试验组A早产儿低体温发生率(3.23%)明显低于对照组A (16.12%)，试验组B早产儿低体温发生率(14.03%)明显低于对照组B(35.09%)，差异均有统计学意义(P<0.05)；实施基于循证的袋鼠式护理后，试验组A母乳喂养率明显高于对照组A，试验组B母乳喂养率明显高于对照组B，差异均有统计学意义(P<0.05)；纠正胎龄40周时，试验组A早产儿生长发育指标明显高于对照组A，试验组B早产儿生长发育指标明显高于对照组B，差异均有统计学意义(P<0.05)；试验组A早产儿的NBNA评分明显优于对照组A，试验组B早产儿的NBNA评分明显优于对照组B，差异均有统计学意义(P<0.05)；试验组A早产儿住院时间明显短于对照组A，试验组B早产儿住院时间明显短于对照组B，差异均有统计学意义(P<0.05)。结论 基于循证的袋鼠式护理模式能提高母乳喂养率，降低低体温的发生率，促进早产儿生长发育及神经行为发育，缩短住院时间，是一种安全、有效、科学的护理模式。
      【关键词】 早产儿；循证护理；袋鼠式护理；母乳喂养；胎龄
      【中图分类号】 R473.71 【文献标识码】 A 【文章编号】 1003—6350（2021）03—0404—05

Effect of evidence-based kangaroo mother care on the comprehensive development of premature infants.
XIEHai-qing, QIN Lang-ying, JI Chu-ling, ZHU Ling-zhen, MENG Li-ping. Department of Pediatrics, the First AffiliatedHospital of Hainan Medical College, Haikou 570102, Hainan, CHINA
【Abstract】 Objective To explore the effect of evidence-based kangaroo mother care on the growth and ner-vous system development of premature infants. Methods A total of 300 cases of premature infants, who were admittedto Department of Pediatrics, the First Affiliated Hospital of Hainan Medical College from December 2018 to November2019, were selected as the study objects. According to the gestational age, they were divided into two groups: gestationalage of group A≥34 weeks (n=186), gestational age of group B<34 weeks (n=114). The preterm infants in group A wererandomly divided into the experimental group A (n=93) and control group A (n=93). The preterm infants in group B wererandomly divided into two groups: experimental group B (n=57) and control group B (n=57). The control group was giv-en routine nursing and follow-up. On this basis, kangaroo mother care was carried out in the experimental group. The vi-tal signs of preterm infants, the breastfeeding status of preterm infants, the growth and development indicators and neu-robehavioral development (Neonatal Behavioral Neurological Assessment, NBNA), and the hospitalization time of pre-term infants of the difference groups were compared. Results After the evidence-based kangaroo mother care was im-·护理·doi:10.3969/j.issn.1003-6350.2021.03.035基金项目：海南省教育厅科研项目(编号：hnky201540)