NICU专科护士产时护理对超低出生体重儿抢救效果的影响  

Effect of intrapartum nursing of NICU nurse specialist to rescue extremely low birth weight infants

作　　者：于新颖[1] 刘丹妮[1] 王玲[1] 

机构地区：[1]中国医科大学附属盛京医院第二新生儿病房,沈阳110004

出　　处：《中华现代护理杂志》2012年第30期3643-3645,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨产时NICU专科护士配合抢救对超低出生体重儿抢救效果的影响。方法将2008年11月至2012年1月出生的超低出生体重儿按出生单双日分组，单日为观察组30例，产时为NICU专科护士配合抢救和护理；双日为对照组30例，产时是产科接产医生配合抢救，观察配合人员改变后对抢救效果的影响。结果观察组5rainApgar评分明显高于对照组[（8．13±0．68）分比（6．73±0．83）分]，差异有统计学意义（t=7．152，P〈0．01）。观察组体温、pH值、BE值明显高于对照组，差异均有统计学意义（z值分别为13．274，6．152，2．691；P均〈0．05）；抢救时间较对照组缩短[（12．67±2．86）min比（14．33±2．86）min]，差异亦有统计学意义（t=-2．260，P〈0．05）。结论产时NICU专科护士配合抢救和护理可明显提高超低出生体重儿的抢救效果，缩短抢救时间，为后续治疗奠定基础。Objective To investigate the rescuing effect of extremely low birth weight infants under the assistance of intrapanrtum NICU nurse specialist. Methods Sixty extremely low birth weight infants born from November 2008 to January 2012 were divided into two groups according to the odd-even date of their birth. 30 infants who were born on odd days wore the observation group and rescued and nursed by intrapanrtum NICU nurse specialist, while 30 infants who were born on even days were the control group and rescued by obstetric doctors. The effect of personnel change on rescuing was observed and compared. Results In the observation group, 5 minute Apgar scorewas significantly higher than that in the control group [ （8.13 ±0.68） vs （6.73 ± 0.83） （t =7. 152,P 〈0.01 ） ; the body temperature, pH value and BE value were all significantly higher than those in the control group （ t = 13. 274, 6. 152,2.691, respectively ;P 〈 0.05 ） ; rescue time was shorter than that of the control group [ （ 12.67 ± 2.86 ） rain vs （ 14.33 ± 2. 86 ） min] （ t = - 2. 260, P 〈 0. 05 ）. Conclusions The assistance and nursing by intrapanrtum NICU nurse specialist can effectively improve the rescuing effect of extremely low birth weight infants, shorten the rescue time and lay the foundation for the subsequent treatment.

关 键 词：护理 产时 NICU 专科护士 超低出生体重儿 

分 类 号：R473.72[医药卫生—护理学]