体位护理在新生儿呼吸窘迫综合征治疗中的应用效果  

Application effect of body position nursing in treatment of neonatal respiratory distress syndrome

作　　者：高云霞[1] 

机构地区：[1]南阳医学高等专科学校第一附属医院儿科,河南南阳473000

出　　处：《中国当代医药》2015年第23期182-184,共3页China Modern Medicine

摘　　要：目的探讨体位护理在新生儿呼吸窘迫综合征治疗中的应用效果。方法选择我院2012年12月-2014年12月收治的40例呼吸窘迫综合征新生儿,按照随机数字表法将其分为观察组和对照组,每组20例。观察组采用仰卧位一次性注入猪肺磷脂注射液,对照组采用仰卧位、左侧卧位和右侧卧位注入猪肺磷脂注射液。观察两组用药后5 min血氧饱和度改变情况,并记录两组血氧饱和度达到90%所用时间;比较两组用药后首次吸痰5 min后的血氧饱和度、用药3 d后肺部影像学改变情况及住院时间。结果观察组用药5 min后的血氧饱和度和对照组比较,差异无统计学意义（P〉0.05）;观察组的血氧饱和度超过90%所用时间短于对照组,差异有统计学意义（P〈0.05）;观察组用药后首次吸痰5 min后的血氧饱和度高于对照组,差异有统计学意义（P〈0.05）。观察组肺部影像学好转所率和对照组比较,差异无统计学意义（P〉0.05）;观察组住院时间短于对照组,差异有统计学意义（P〈0.05）。结论仰卧位下一次性注入猪肺磷脂注射液有助于提高呼吸窘迫综合征新生儿的临床治疗效果,护理效果显著。Objective To explore the application effect of body position nursing in treatment of neonatal respiratory distress syndrome. Methods 40 cases of neonatal respiratory distress syndrome admitted into our hospital from December 2012 to December 2014 were selected and divided into observation group and control group by random number table,20 cases in each group.The observation group was given poractant alfa injection with supine position,the control group was given poractant alfa injection with supine,left lateral and right lateral decubitus position.The blood oxygen saturation changes after treatment for 5 minutes in the two groups was observed.The time of oxygen saturation up to90% in two groups was recorded.The blood oxygen saturation after 5 minutes of the first suction phlegm,the changes of lung image after 3 days of medication,hospitalization time in two groups was compared. Results The blood oxygen saturation after treatment for 5 minutes in the observation group compared with that in the control group,there was no significant difference（P〉0.05）.The time of oxygen saturation up to 90% in the observation was lower than that in the control group,the difference was statistically significant（P 〈0.05）.The blood oxygen saturation after 5 minutes of the first suction phlegm in the observation group was higher than that in the control group,there was statistical significance the difference（P〈0.05）.The proportion of well turn of lung image in the observation group compared with that in the control group,there was no significant difference（P〉0.05）.The hospitalization time in observation group was lower than that in the control group,there was significant difference（P〈0.05）. Conclusion The disposable injection of poractant alfa injection under the supine position may improve the clinical effect of neonatal respiratory distress syndrome,the nursing effect is significant.

关 键 词：新生儿呼吸窘迫综合征 体位护理 猪肺磷脂注射液 

分 类 号：R473.72[医药卫生—护理学]