小儿复杂先心术后呼吸道管理体会  

Experience in the Management of Respiratory Tract after Complex First Heart Surgery in Children

作　　者：张安然[1] ZHANG An-ran(Children’s Hospital Affiliated to Zhengzhou University/ Henan Children’s Hospital/ Zhengzhou Children’s Hospital,Zhengzhou, Henan, 450018, China)

机构地区：[1]郑州大学附属儿童医院河南省儿童医院郑州儿童医院,河南郑州450018

出　　处：《临床研究》2019年第4期163-164,共2页Clinical Research

摘　　要：目的观察小儿进行复杂先心术后实施呼吸道管理的方法及效果。方法选取本院儿科2017年3月～2018年3月行复杂先心术后的70例小儿为观察对象,并将患儿随机分为对照组和观察组,两组患儿各35例;对照组患儿以常规护理方法干预,观察组患儿则在常规护理干预的基础上进行呼吸道护理管理,对比两组患儿的护理效果。结果观察组肺部和呼吸道并发症率显著低于对照组,观察组患儿呼吸机使用时间短于对照组。两组结果对比,差异有统计学意义(P <0.05)。结论在行复杂先心术后患儿当中,对患儿重点实施呼吸道护理管理,可有效降低患儿呼吸道并发症,可提升手术治疗效果,值得应用于先心病患儿术后护理当中。Objective To observe the method and effect of respiratory tract management after complex heart surgery in children. Methods 70 children with complicated preoperation in March -2018 March 2017 were selected and divided into the control group and the nursing group randomLy. The children of the two groups were 35 cases each. The children in the control group were treated with routine nursing, and the children in the observation group were managed on the basis of routine nursing. The nursing effect of two groups of children was compared. Results The rate of pulmonary and respiratory complications was significantly lower in the observation group than in the control group.The ventilation time of children in the observation group was shorter than that of the control group. The difference between the two groups was statistically significant (P < 0.05). Conclusion The management of respiratory tract nursing care for children with complicated first heart surgery can effectively reduce the complications of respiratory tract and improve the effect of surgical treatment. It is worthy of application in postoperative nursing of children with congenital heart disease.

关 键 词：小儿 复杂先心术 呼吸道 管理 

分 类 号：R473.5[医药卫生—护理学]