摘要
目的 探讨评价新生儿维生素k缺乏致颅内出血临床护理的效果。方法 利用回顾性方法分析2022年1月-2025年6月期间本院收治60例新生儿维生素k缺乏致颅内出血患儿资料,将患儿资料分为对照组和观察组,每组30例。对照组采用常规护理干预,观察组在常规护理基础上增加综合干预。对比两组患儿的护理效果(出血时间、住院时间)、总效率以及并发症发生率。结果 通过护理后,观察组患儿的治疗总效率高于对照组,观察组患儿的出血时间和住院时间均短于对照组,且观察组患儿的并发症发生率低于对照组,差异均具有统计学意义(p<0.05)。结论 采用综合护理干预在新生儿维生素k缺乏致颅内出血临床护理中具有显著效果,可以提高患儿的治疗效果,减少并发症的发生,促进患儿康复,这种护理方式值得推广和应用。
关键词: 新生儿;维生素k;颅内出血;综合护理;护理效果;总效率;并发症
Abstract
Objective To explore and evaluate the clinical nursing outcomes for neonatal intracranial hemorrhage caused by vitamin K deficiency. Methods A retrospective analysis was conducted on 60 neonates with intracranial hemorrhage due to vitamin K deficiency admitted to our hospital from January 2022 to June 2025. The patients were divided into a control group and an observation group, with 30 cases in each group. The control group received routine nursing interventions, while the observation group received comprehensive interventions in addition to routine care. The nursing outcomes (bleeding duration, hospitalization time), total efficacy, and complication rates were compared between the two groups. Results After nursing intervention, the observation group showed higher total treatment efficacy compared to the control group. The bleeding duration and hospitalization time in the observation group were significantly shorter than those in the control group, and the complication rate was lower in the observation group. All differences were statistically significant (p<0.05)). Conclusion Comprehensive nursing intervention demonstrates significant efficacy in the clinical care of neonatal intracranial hemorrhage caused by vitamin K deficiency. It improves treatment outcomes, reduces complications, and promotes recovery in neonates. This nursing approach is worthy of promotion and application.
Key words: Newborn; Vitamin K; Intracranial hemorrhage; Comprehensive nursing; Nursing efficacy; Total efficacy; Complications
参考文献 References
[1] 杨惠麟.维生素K缺乏性颅内出血婴儿的观察与护理[J].中国社区医师(医学专业),2011,13(06):212.
[2] 席紫欣,罗艳红,赵旭晶.新生儿颅内出血研究进展[J].国际神经病学神经外科学杂志,2025,52(01):63-69.
[3] 李琦,高志波,钱令涛,等.新生儿维生素K缺乏性颅内出血的手术治疗研究[J].黑龙江医药,2013,26(06):1083-1085.
[4] 叶琴.颅内出血早产儿的临床特征及其危险因素分析[J].中国临床医生杂志,2022,50(02):227-229.
[5] 思希尧,李晓龙,李慧荣,等.晚发型维生素K缺乏性出血症的临床分析及预防对策[J].临床医学研究与实践,2022, 7(02):1-4+8.
[6] 孙继军.维生素K缺乏致新生儿出血症的临床研究[J].中国农村卫生,2020,12(14):36.
[7] 李婷婷,李慧荣,马新凯,等.不同剂量维生素K1治疗维生素K缺乏性出血患儿的临床效果及对PIVKA-Ⅱ水平、机体营养状况的影响[J].临床医学研究与实践,2022, 7(21): 28-31+66.
[8] 傅来建,卢芳燕.1例肝移植术后肺部卡氏肺孢子感染并发颅内出血患儿的护理[J].中华护理杂志,2022,57(08): 996-1000.
[9] 李佩,黄瑞玉.护理干预在新生儿颅内出血治疗中的应用效果[J].中外女性健康研究,2019,(10):90-91.