目的 分析重症监护病房新生儿听力筛查未能通过的危险因素. 方法 回顾性调查1 670例新生儿听力筛查情况. 通过多因素Logistic回归分析,筛选出新生儿听力筛查未通过的危险因素. 结果 未通过听力筛查的新生儿345例(20.7%). 单因素分析结果显示,胎龄≤32周、出生体质量≤1 500 g、颅面部畸形、巨细胞病毒引起的宫内感染、达到换血标准的高胆红素血症、胆红素脑病、新生儿神经行为测定( NBNA)评分≤35分与新生儿听力筛查未通过有相关性(P均<0.05). 多因素Logistic回归分析结果显示,出生体质量≤1 500 g、颅面部畸形、胆红素脑病、NBNA评分≤35分是听力筛查未通过的独立危险因素. 结论 重症监护病房新生儿听力筛查不能通过的危险因素有出生体质量≤1 500 g、颅面部畸形、胆红素脑病、NBNA评分≤35分.

Objective:To explore the effect of improvement of enteral nutrition on the rehabilitation of patients with severe dysphagia after pontcerebellar angle tumor surgery.Methods:48 surgical patients admitted to our hospital from March 2006 to March 2009 were taken as observation group(male 31,female 17,26~70 years old) and the other 37 surgical patients admitted to hospital from March 2003 to February 2006 were taken control group(male 16,female 11 27~80 years old) and retrospective analysis was made.In observation group,the early enteral nutrition was given to the patients with nutrition pump under the guidance of the dietitian,and in control group the patients were given enteral nutrition by injection under the guidance of doctors.Results:The intracranial infection rate,lung infection,gastrointestinal bleeding and diarrhea reduced 16.84%,18.07%,20.16% and 16.61% respectively in observation group compared with that in control group.The average days of hospitalization were shortened 4.4 days.Conclusion:Early and timely enteral nutrition can reduce a variety of complications in patients with severe dysphagia after pontcerebellar angle tumor surgery.

腰穿持续外引流近年来在脑外科的应用越来越广泛,其作用也得到进一步的肯定.现将我科自1999-2004年86例行腰穿持续外引流的病人的护理体会总结如下.

1998～2003年,我们共收治腭裂患儿95例,均行腭裂修复术治疗,其外观形态及功能恢复均比较满意.现将护理体会报告如下. 临床资料:本组男62例,女33例;年龄18个月～7岁.单侧85例,双侧10例.均行腭裂修复术治疗.