摘要
目的 探讨多元化护理干预在新生儿窒息后心肌损伤患儿中的应用效果。方法 选取我院2023年12月至2025年12月收治的60例新生儿窒息后心肌损伤患儿为研究对象，采用随机数字表法分为对照组（n=30）和试验组（n=30），对照组采用常规护理干预，试验组在此基础上采用多元化护理干预，比较两组患儿肌酸激酶同工酶（CK-MB）、肌钙蛋白I（cTnI）恢复正常时间、发绀、心率异常改善时间、住院时长，并明确两组患儿家长护理满意度的区别。结果 试验组患儿CK-MB、cTnI恢复正常时间及发绀、心率异常改善时间均短于对照组（P＜0.05），住院时长显著短于对照组（P＜0.05）；试验组家长满意度为93.33%，高于对照组的70.00%（P＜0.05）。结论 多元化护理干预的应用优势显著，有利于帮助患儿健康恢复正常的心肌功能，缓解了其症状改善不够高效的问题，使其住院时长更短，也是提升家长满意度的关键性措施。
关键词： 新生儿窒息；心肌损伤；多元化护理干预
Abstract
Objective To explore the application effect of diversified nursing interventions in children with myocardial injury after neonatal asphyxia. Methods Sixty cases of neonatal myocardial injury after asphyxia admitted to our hospital from December 2023 to December 2025 were selected as the research subjects. They were randomly divided into a control group (n=30) and an experimental group (n=30) using a random number table method. The control group received routine nursing intervention, while the experimental group received diversified nursing intervention on this basis. The recovery time of creatine kinase isoenzyme (CK-MB) and troponin I (cTnI), cyanosis, improvement time of abnormal heart rate, and length of hospital stay were compared between the two groups, and the difference in parental nursing satisfaction between the two groups was clarified. Results The recovery time of CK-MB and cTnI, as well as the improvement time of cyanosis and abnormal heart rate in the experimental group were shorter than those in the control group (P<0.05), and the length of hospital stay was significantly shorter than that in the control group (P<0.05); The satisfaction rate of parents in the experimental group was 93.33%, which was higher than the control group’s 70.00% (P<0.05). Conclusion The application advantages of diversified nursing interventions are significant, which are conducive to helping children recover normal myocardial function, alleviate the problem of ineffective symptom improvement, shorten their hospitalization time, and are also key measures to improve parental satisfaction.
Key words： Neonatal asphyxia; Myocardial injury; Diversified nursing interventions
参考文献 References
[1] 杨娜,燕美琴,王凌云等. 护理人员新生儿早期基本保健知信行现状及影响因素[J].护理研究,2025,39(15):2605-2613.
[2] 王亚丽,典方方,张兵旗等. 口周按摩联合非营养性吸吮干预应用于新生儿窒息致吞咽障碍患儿的效果[J]. 黔南民族医专学报, 2025, 38 (03): 336-338.
[3] 马亚华,陆小丽,李坤坤. 知信行模式护理在新生儿窒息复苏管理中的应用研究[J].黑龙江医药科学,2025,48(06): 132-134.
[4] 冯小娟,苑春杰,贾锰等. 加速康复外科理念在新生儿肠闭锁围术期护理中的应用[J].护理研究,2024,38(18): 3381-3384.
[5] 臧逗,蒋思琼,孟懿等. 基于链式理论的高危儿全周期母乳喂养管理应用及效果评价[J].中国护理管理,2025, 25(01):80-85.
[6] 张杰,陈慧敏,孟凡玲等. 基于赋能理论的康复护理教育在创伤性脑损伤患儿照顾者中的应用效果研究[J].中国康复医学杂志,2023,38(08):1138-1141.
[7] 徐文静,刘琼琼,侯婷婷. 袋鼠式护理联合家庭参与式照护在新生儿窒息中的应用[J].妇儿健康导刊,2025,4(18): 154-158.
[8] 魏庆. 系统化急救护理对窒息新生儿神经行为功能、动脉血乳酸水平及乳酸清除率的影响[J].贵州医药,2025, 49(06):999-1001.