| 孙冬妮.新生儿CPAP辅助通气的护理对策及对治疗效果和并发症的影响研究[J].上海护理,2020,20(S1): |
| 新生儿CPAP辅助通气的护理对策及对治疗效果和并发症的影响研究 |
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| DOI： |
| 中文关键词: 持续气道正压通气 呼吸窘迫综合征 新生儿 |
| 英文关键词:continuous positive airway pressure ventilation Respiratory distress syndrome The newborn |
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| 中文摘要: |
| 目的 研究优质护理措施对新生儿CPAP辅助通气治疗效果和并发症的影响。方法 我院自2018年6月开始对新生儿CPAP的护理措施进行调整, 取调整前的患儿为对照组,调整后的患儿为研究组,比较两组患儿的PaCO2、PaO2和SpO2指标,血压和心率指标, 机械通气时间、住院时间以及胸片改善的时间；并发症的发生率。结果 两组患儿通气前的PaCO2、PaO2和SpO2指标,血压和心率指标差异无统计学意义(P>0.05)；通气后,PaCO2研究组的值低于对照组,而PaO2和SpO2指标则高于对照组,两组患儿的血压均高于通气前,心率低于通气前,而研究组的血压高于对照组,心率低于对照组,研究组的住院时间、胸片改善时间和机械通气时间均短于对照组,两组患儿主要的并发症有呼吸机相关肺炎、气胸和肺不张,且研究组并发症的发生率低于对照组,且均有P<0.05,差异具有统计学意义。结论 对持续气道正压通气患儿实施优质的护理方式有利于降低持续气道正压通气并发症的发生率,提高对患儿的治疗效果。 |
| 英文摘要: |
| objective to study the effect of quality nursing measures on the treatment effect and complications of CPAP assisted ventilation in neonates. Methods the nursing measures of neonatal CPAP were adjusted in our hospital from June 2018. The children before the adjustment were selected as the control group, and the children after the adjustment were selected as the study group. The PaCO2, PaO2 and SpO2 indicators, blood pressure and heart rate indicators, mechanical ventilation time, hospital stay time and chest X-ray improvement time of the two groups were compared. The incidence of complications. Results there were no significant differences in PaCO2, PaO2 and SpO2, blood pressure and heart rate between the two groups before ventilation (P>, 0.05). After aeration, PaCO2 team"s value is lower than the control group, while PaO2 and SpO2 index is higher than the control group, two groups of blood pressure in children were higher than before the ventilation, the heart rate is lower than before the ventilation, and the team"s blood pressure is higher than the control group, the heart rate is lower than the control group, the team of the length of hospital stay, chest radiographs improve mechanical ventilation time and time is shorter than the control group, two groups of children with main complications of ventilator associated pneumonia, pneumothorax and atelectasis, the incidence of complications and the team is lower than the control group, and were P < 0.05, the difference is statistically significant. Conclusion good nursing care for children with CPAP is beneficial to reduce the incidence of CPAP complications and improve the therapeutic effect. |
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