不同方法气管内注入肺表面活性物质的护理研究  

Nursing Study of Intratracheal Injection of Pulmonary Surfactant with Different Methods

作　　者：潘小玲[1] 廖素霞[1] 江谰燕[1] 叶爱娴[1] 蒙好好[1] 

机构地区：[1]广东省深圳市第六人民医院(广东医学院附属医院)护理部,518052

出　　处：《医学理论与实践》2008年第2期146-148,共3页The Journal of Medical Theory and Practice

摘　　要：目的:探索气管内注入肺表面活性物质的最佳护理方法。方法:将67例新生儿呼吸窘迫综合征患儿随机分成观察组和对照组,观察组采用仰卧位正压气管内注入法;对照组采用传统的多体位非密闭式气管内给药法。观察比较两组用药后血气分析、肺部X线改善、并发症及转归情况。结果:两组患儿用药后在血气分析、肺部X线改善情况、并发症等方面均无显著差异。结论:仰卧位正压给药法与多体位非密闭式给药法比较,两组临床效果无差异,但前者操作简便,对患儿的搬动、干扰少,气管导管脱出和给药引起的一过性发绀的机率小,在减少药物喷出等方面取得了满意的临床效果。Objective：To explore the best nursing method of intratracheal injection of pulmonary surfactant （PS）. Methods： 67 neonates with neonatal respiratory distress syndrome （NRDS） were divided into the observation group and the control group randomly. The observation group was given the pulmonary surfactant with the pressure intratracheal injection method, assuming a supine position; the control group was treated with non-enclosed intratracheal injection in traditional positions. The blood gas analysis, lung X-rayed, complications and prognosis in two groups were observed and compared. Results： After treatment, there was no significant difference of these indexes. Conclusion： There is no difference in clinical effect. But in the observation group the administration is simple the neonates are less moved, and there is little probability of endotracheal tube breaking away and the transient cyanosis caused by drug. Reduction of drug spilling over may respond with satisfactory clinical result.

关 键 词：肺表面活性物质 观察 护理 新生儿呼吸窘迫综合征 

分 类 号：R722.12[医药卫生—儿科] R473.72[医药卫生—临床医学]