新生儿持续气道正压通气过程中通气压力不稳定的影响因素及护理对策  

Influencing factors of unstable ventilation pressure in the process of continuous positive airway pressure ventilation for the newborns and its nursing countermeasures

作　　者：黄颖兰 HUANG Ying-lan

机构地区：[1]常州市儿童医院新生儿科,常州市213003

出　　处：《护理实践与研究》2020年第10期106-108,共3页Nursing Practice and Research

摘　　要：目的探讨新生儿持续气道正压通气过程中通气压力不稳定的影响因素,并为持续稳定保证供氧提出相应护理对策。方法选取我院2016年1月至2019年9月收治的50例需鼻塞持续气道正压通气治疗的新生儿呼吸窘迫综合征患儿为研究对象,按照患儿通气过程中发生通气压力不稳定次数分为<3次组和≥3次组,同时收集所有患儿相关资料录入统计学软件进行数据处理。结果50例患儿中发生≥3次通气压力不稳定13例(26.00%)。多因素logistic回归分析显示,持续正压通气使用时间≥72 h、鼻塞脱落、患儿躁动、管路冷凝水过多是影响新生儿持续气道正压通气过程中通气压力不稳定的独立危险因素(P<0.05)。结论护理人员应根据呼吸窘迫综合征患儿个体差异结合临床医学的治疗与预防宗旨,预警和控制通气压力不稳定发生风险,保证患儿生命安全。Objective To explore the influencing factors of unstable ventilation pressure in the process of continuous positive airway pressure ventilation for the newborns,and to propose corresponding nursing countermeasures for continuous and stable oxygen supply.Methods We selected 50 cases of children patients with neonatal respiratory distress syndrome who needed continuous positive airway pressure treatment for nasal congestion in our hospital from January 2016 to September 2019 as the study subjects,and they were divided into<3 times group and≥3 times group according to the number of times of ventilatory pressure instability in children patients during ventilation.At the same time,all relevant data of children patients were collected and input into statistical software for data processing.Results Among 50 cases of children patients,13 cases(26.00%)of patients had unstable ventilation pressure≥3 times.Multivariate logistic regression analysis showed that the duration of continuous positive pressure ventilation≥72 h,defluvium of nasal congestion,children patients'dysphoria,and excessive condensate water were the independent risk factors affecting the unstable ventilation pressure in the process of continuous positive airway ventilation in the newborns(P<0.05).Conclusion The nursing staff should warn and control the risk of unstable ventilation pressure according to the individual differences of children patients with respiratory distress syndrome combined with the purpose of treatment and prevention in clinical medicine to ensure the safety of children patient's lives.

关 键 词：新生儿呼吸窘迫综合征 鼻塞持续气道正压通气 气压不稳 护理对策 

分 类 号：R473.72[医药卫生—护理学]