不同体位护理对高原地区早产儿的影响研究  

Posture Cares of Premature Infants in High Altitude Areas

作　　者：郭峥[1] 段青梅[2] 闫素芹[3] 肖红[3] 

机构地区：[1]青海红十字医院儿科,青海省西宁市810000 [2]青海红十字医院康复科,青海省西宁市810000 [3]青海红十字医院妇产科,青海省西宁市810000

出　　处：《中国全科医学》2014年第5期580-582,共3页Chinese General Practice

摘　　要：目的对比分析高原地区早产儿不同体位的护理对心率、呼吸频率、每次进奶量及睡眠时间的影响。方法选取2010年10月—2012年9月我院新生儿重症监护病房(NICU)收治的排除患有呼吸系统疾病和其他严重并发症的早产儿98例,并按随机数字表法将其分为观察组50例,对照组48例。观察组早产儿在行常规治疗的基础上给予俯卧位护理,对照组早产儿在行常规治疗的基础上采用传统的仰卧位护理。比较两组早产儿的心率、呼吸频率、每次进奶量及睡眠时间。结果两组早产儿的心率比较,差异有统计学意义(P<0.05);组间比较显示,观察组早产儿在1、2、3、4、5、6 h时测得的心率均低于同期对照组(P<0.05)。两组早产儿的呼吸频率比较,差异有统计学意义(P<0.05);组间比较显示,观察组早产儿在2、3、4、5、6 h时测得的呼吸频率低于同期对照组(P<0.05),而在1h时测得的呼吸频率与对照组比较,差异无统计学意义(P>0.05)。观察组早产儿每次进奶量高于对照组,每次睡眠时间长于对照组(P<0.05)。结论对高原地区早产儿进行俯卧位护理较传统的仰卧位护理可以降低早产儿的心率,改善呼吸,增加进奶量,延长睡眠时间,值得临床推广。Objective To analyze comparatively the influence of various postures on heart rate （ HR）, respiratory frequency （RF）, milk intake and sleeping hours of premature infants. Methods From October 2010 to September 2012 a total of 98 premature infants were divided randomly into groups study （ n = 50）, control （48）. Based on conventional treatment, study group were given prone - position care, control group given supine - position care. HR, RF, milk intake, sleeping time were compared between 2 groups. Results There was significant difference in HR between 2 groups （P 〈 O. 05）, HR was low- er in study group than in control group at hours 1, 2, 3, 4, 5, 6 （P 〈 O. 05）. There was difference in RF between 2 groups （ P 〈 O. 05 ）, RF lower in study group than in control group at hours 2, 3, 4, 5, 6 （P 〈 0.05）, but there was no difference at hour 1 （P 〉 0. 05）. Milk intake was more and sleeping time longer in study group than in control group （P 〈 0.05）. Conclu- sion Prone -position care can reduce premature infants＇ HR, improve their breath, increase their milk intake, prolong their sleeping time, which is worthy of clinical generalization.

关 键 词：早产儿 体位 护理 重症监护 新生儿 

分 类 号：R473.72[医药卫生—护理学]