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目的 :研究窒息儿健康管理的效果及其影响因素。方法 :对 5 3例窒息儿分早、晚期管理组 ,进行两年的综合性健康管理 ;以 Z分法和 Gesell量表评价其效果。并对健康管理的相关因素进行多元逐步回归分析 ,设正常、窒息对照组。结果 :早期管理组的 WAZ、HAZ、HCAZ均值高于两个对照组 (P <0 .0 5 ) ,接近 WHO标准的中位数 ;其 DQ均值达正常儿水平 (P >0 .0 5 ) ,高于窒息儿对照组 (P <0 .0 5 ) ,重度窒息儿适应性 DQ均值比窒息对照组高出 15 .2分 (F=10 .10 ,P <0 .0 1) ,无发育障碍。影响管理组 DQ变化的因素是健康管理的时间、年龄、复苏成功时间 ,其父亲的职业 (农民、干部 )和 HCAZ值 ,其中健康管理时间是主要因素 (r=0 .771) ;影响 WHZ、HAZ、WHZ和 HCAZ值的因素分别是健康管理的时间、其母亲文化程度、职业(教师、工人 )和脑损伤程度。结论 :提高窒息复苏技术水平、家庭健康促进和 0～ 2岁的综合管理是窒息儿群体防治的关键环节
Objective: To study the effect and influential factors of health management of suffocation children. Methods: A total of 53 children with asphyxia were divided into early and late management groups for two years’ comprehensive health management. The Z-score and Gesell’s scale were used to evaluate the effect. The factors related to health management were analyzed by multiple stepwise regression analysis. Normal and asphyxiated control groups were established. Results: The mean values of WAZ, HAZ and HCAZ in the early management group were higher than those in the two control groups (P <0.05), which were close to the WHO standard median; mean DQ value reached the normal level (P> 0.05) , Higher than those in the control group (P0.05). The mean DQ value of severe asphyxia children was 15.2 times higher than that of the asphyxia control group (F = 10.10, P <0.01) obstacle. The factors influencing the change of DQ in management group are health management time, age, success time of resuscitation, occupation of his father (farmer, cadre) and HCAZ value, among which health management time is the main factor (r = 0.771) Factors for HAZ, WHZ and HCAZ values are health management time, mother’s education level, occupation (teacher, worker) and degree of brain damage respectively. Conclusion: Improving the technical level of asphyxia and resuscitation, promotion of family health and the integrated management of 0 ~ 2 years old are the key links of population control