不同卧位对新生儿重症呼吸疾病氧合的影响  

Study on the influence of different position on the index of oxygenation in newborns with severe respiratory disease

作　　者：孙云[1] 王成中[1] 王艳[1] 

机构地区：[1]建湖县人民医院儿科,江苏建湖224700

出　　处：《护理管理杂志》2007年第6期15-17,共3页Journal of Nursing Administration

摘　　要：目的探讨仰、俯卧位护理对需吸氧重症呼吸疾病新生儿氧合的影响，以寻求新生儿重症呼吸疾病的合适护理体位。方法选择2004年6月-2006年6月收治的50例需吸氧重症呼吸疾病的新生儿，随机分为实验组与对照组各25例，实验组在常规治疗的基础上交替采用仰、俯卧位；对照组在常规治疗的基础上采用仰卧位，分别观察吸氧浓度、呼吸频率、血氧饱和度、动脉血气分析的变化及吸氧时间、住院时间。结果实验组在俯卧位时吸氧浓度降低，血氧饱和度增加，血气分析值中氧分压改善；实验组吸氧时间及住院时间较对照组缩短，仰、俯卧位时两组新生儿呼吸频率及二氧化碳分压无差异。结论俯卧位是需吸氧重症呼吸疾病新生儿可供选择的合适体位。Objective To explore the influence of body position （ supine via prostrate） on the index of oxygenation in newborns with severe respiratory disease,in order to provide reference for appropriate body position care. Methods 50 newborns were randomly assigned into experimental group and control group. The newborns in experimental group took supine and prostrate positions by turn, while those in control group took single supine position. The concentration of oxygen administration, respiratory rate, SO2,the index of arterial blood ,time of oxygen administration and hospitalization days were recorded. Results During prostrate position, the concentration of oxygen administration was lower,the SO2 and PO2 were higher in experimental group. Moreover, compared with the control group,the time of oxygen administration and hospitalization days were decreased in experimental group. Conclusions The prostrate position is proved to be feasible for the newborns with severe respiratory disease.

关 键 词：体位护理 新生儿 重症呼吸疾病 氧合 

分 类 号：R473.72[医药卫生—护理学]