早产儿呼吸道感染的预防干预效果分析  

Effectiveness analysis of preventive interventions for respiratory infections in preterm infants

作　　者：颜振兰[1] 陈爱华[1] 符慧玉 黎琰[1] 

机构地区：[1]三亚市妇幼保健院儿科,海南三亚572000

出　　处：《中华医院感染学杂志》2014年第16期4118-4120,共3页Chinese Journal of Nosocomiology

基　　金：国家自然科学基金资助项目(30972894)

摘　　要：目的研究分析早期预防干预对早产儿呼吸道感染的预防作用,以期为降低早产儿呼吸道感染发病率找到更经济、便捷的方法。方法选择医院2009年2月-2011年2月住院的胎龄<37周早产儿90例,将其随机分为两组,每组各45例,分别为干预组和对照组,对照组采用常规护理,干预组实施早期预防干预包括抚触和婴儿操,出院后随访至婴儿2周岁,比较两组早产儿发生呼吸道感染的概率以及由于呼吸道感染的再入院率,采用SPSS 16.0软件进行数据分析。结果在住院期间发生呼吸道感染干预组6例占13.3%、对照组8例占17.8%,两组早产儿呼吸道感染的发生率差异无统计学意义;出院后至随访结束,发生呼吸道感染干预组4例占8.9%、对照组12例占26.7%,干预组的发生率显著低于对照组(P<0.05);出院后至随访结束再住院干预组3例为6.7%、对照组9例为20.0%,干预组的再入院率显著低于对照组,差异有统计学意义(P<0.05)。结论早期预防干预能够有效预防早产儿呼吸道感染的发生,有效降低早产儿的呼吸道感染的发生率以及出院后由于呼吸道感染导致的再住院率,是一种经济、便捷的预防措施。OBJECTIVE To analyze the preventive effect of early preventive interventions on respiratory infections in preterm infants,in order to find a more economical and convenient way to reduce the respiratory morbidity in preterm infants.METHODS Totally 90 preterm infants hospitalized in our hospital in Feb.2009-Feb.2011 were randomly divided into two groups,the intervention group and the control group with 45 infants in each group,the control group received conventional nursing while the intervention group received early preventive interventions including fondling and baby exercises.Infants were followed-up to two years of age after discharge,the two groups were compared for the probability of occurrence of respiratory infection and readmission rate caused by respiratory infection.Data were analyzed by SPSS 16.0.RESULTS During hospitalization,the intervention group had 6patients（13.3%）and the control group had 8patients（17.8%）with respiratory infections,the incidence of respiratory infections was not significantly different between the two groups（P0.05）.After discharge till the end of follow-up,the intervention group had 4patients（8.9%）and the control group had 12patients（26.7%）with respiratory infections,the incidence of respiratory infection was significantly lower in the intervention group than in the control group（P0.05）.After discharge till the end of follow-up,the intervention group had 3patients（6.7%）and the control group had 9patients（20.0%）with readmission,the rate of readmission was significantly lower in the intervention group than in the control group（P0.05）.CONCLUSION Early preventive interventions can be effective in preventing the occurrence of respiratory infection in preterm infants,and can effectively reduce the incidence of respiratory infections and the readmission rate caused by respiratory infections,which is an economical and convenient preventive measure.

关 键 词：早产儿 呼吸道感染 早期预防干预 

分 类 号：R722.13[医药卫生—儿科]