探讨早产儿反复呼吸暂停鼻塞持续正压通气的护理及体位选择  

Investigation of Nursing Care and Position Selection for Premature Infants with Recurrent Apnea Nasal Continuous Positive Airway Pressure

作　　者：曾倩 刘经飘 曾秋月 

机构地区：[1]阳江市妇幼保健院,广东阳江529500

出　　处：《黑龙江医学》2017年第7期709-711,共3页Heilongjiang Medical Journal

摘　　要：目的研究并探讨早产儿反复呼吸暂停鼻塞持续正压通气(NCPAP)的护理及体位选择。方法选取2013-01—2015-12间在阳江市妇幼保健院监护病房(NICU)采用随机数字表法筛选80例符合纳入条件的反复呼吸暂停早产儿作为此次研究对象,采用随机数字表法分为两组,每组患儿40例。两组患儿均在常规治疗的同时,给予鼻塞持续正压通气治疗及护理干预,在此基础上,对照组采取仰卧位,研究组采取俯卧位。结果与治疗1 h相比,两组患儿治疗24h后的PEEP、Fi O2、Pa O2、Pa CO2均明显改善(P<0.05),但观察组治疗24 h后的各项指标与对照组比较明显更优(P<0.05)。观察组的临床总有效率为95%,较之对照组明显更高(P<0.05)。与对照组相比,观察组的氨茶碱给药时间、通气时间、住院时间均明显缩短(P<0.05)。观察组和对照组的不良反应发生率相比,差异无统计学意义(P>0.05)。结论给予反复呼吸暂停的早产儿俯卧位鼻塞持续正压通气治疗,并辅以合理的护理干预措施,可有效提高治疗效果,改善患儿的通气功能,缩短治疗时间。Objective To study and discuss the nursing care and position selection for premature infants with recurrent apnea nasal continuous positive airway pressure（ NCPAP）. Methods 80 patients with repeated respiratory conditions from January,2013 to December,2015 in the NICU in the hospital by random number table method selection were regarded as the research object. They were divided into two groups,with 40 cases in each group. Two groups were in the conventional treatment at the same time. The nasal continuous positive airway pressure ventilation in the treatment and nursing intervention were done. On this basis,the control group received supine position,and the observation group received prone position. Results Compared with the treatment of 1h,PEEP,Fi O2,Pa O2 and Pa CO2 were significantly improved in the two groups after treatment after 24h（ P〈0. 05）,but the observation group was significantly better than the control group after the treatment after 24h（ P〈0. 05）. The clinical total effective rate of observation group was 95%,which was significantly higher than that of control group（ P〈0. 05）. Compared with the control group,the observation group aminophylline administration time,ventilation time and hospitalization time were significantly shortened（ P〈0. 05）. There was no significant difference in the incidence of adverse reactions between the observation group and the control group（ P〉0. 05）. Conclusion Repeated respiratory apnea of preterm infants in the prone position of nasal continuous positive pressure ventilation supported by reasonable nursing intervention measures can effectively improve the therapeutic effect and improve ventilation function of patients. This can shorten the time of treatment.

关 键 词：早产儿 反复呼吸暂停 鼻塞持续正压通气 护理 俯卧位 

分 类 号：R473.72[医药卫生—护理学]