摘要
目的:探讨基于云平台的个案追踪管理在新生儿缺氧缺血性脑病（HIE）出院后的应用。方法:选取2018年3月至2020年3月盐城市第三人民医院南院收治的100例HIE患儿为研究对象，按照随机数字表法将其分为观察组与对照组，各50例。对照组给予常规健康教育，观察组在对照组的基础上给予基于云平台的个案追踪管理。比较2组研究对象的体格、智力发育情况，患儿家属依从性及后遗症发生率。结果:2组患儿出院时、12个月、24个月的体质量、身高、头围比较，差异均无统计学意义（P＞0.05）。12个月及24个月观察组发育商（DQ）值分别为（85.36±17.69）、（88.43±20.64）分，高于出院时的（74.26±11.08）分及同期对照组[（75.19±22.07）、（76.91±21.38）分]，差异均有统计学意义（P＜0.05）。观察组患儿家属坚持治疗、定期复诊、症状观察评分分别为（3.69±1.12）、（3.53±1.04）、（3.47±1.10）分，高于对照组的（2.68±0.78）、（2.74±0.70）、（2.95±0.74）分，差异均有统计学意义（P＜0.05）。观察组后遗症发生率为8.00%（4/50），低于对照组的26.00%（13/50），差异有统计学意义（P＜0.05）。结论:基于云平台的个案追踪管理用于HIE患儿，可促进患儿智力的发育，提高家属的依从性，减少患儿后遗症的发生。
Abstract
Objective:To explore the application of case-tracking management based on cloud platform in neonatal hypoxic-ischemic encephalopathy (HIE) after discharge.Methods:100 HIE children admitted to the South Hospital of the Third People's Hospital of Yancheng from March 2018 to March 2020 were included, and were divided into the observation group and the control group according to random number table method, with 50 cases each. The control group was given the routine health education; and the observation group was given case-tracking management based on cloud platform plus the routine health education. The physical and intellectual development，compliance of family members, and the incidence of sequelae were compared between the two groups.Results:There was no significant difference in weight, height and head circumference between the two groups at discharge, 12 months and 24 months (P＞0.05). The developmental quotient (DQ) values in the observation group at 12 months and 24 months were (85.36±17.69) points and (88.43±20.64) points, respectively, which were higher than those in the control group at discharge of (74.26±11.08) points, 12 months of (75.19±22.07) points, and 24 months of (76.91±21.38) points, with all the differences statistically significant (P＜0.05). The scores of treatment adherence, regular visit and symptom observation of family members in the observation group were (3.69±1.12) points, (3.53±1.04) points and (3.47±1.10) points, respectively, which were higher than those in the control group of (2.68±0.78) points, (2.74±0.70) points and (2.95±0.74) points, with all the differences statistically significant (P＜0.05). The incidence of sequela in the observation group was 8.00% (4/50), which was lower than that in the control group [26.00% (13/50)], with the difference statistically significant (P＜0.05).Conclusion:The case-tracking management based on cloud platform for HIE children can promote the intelligence development of children, reduce the occurrence of sequelae, and improve the compliance of family members.
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