临床护理路径在胎粪吸入综合征患儿中的应用  

Application of clinical nursing pathway in children patients with meconium aspiration syndrome

作　　者：管雪芸 李金花[1] 曾水英[1] 郭晶[1] 肖冬素 GUAN Xue-yun;LI Jin-hua;ZENG Shui-ying;GUO Jing;XIAO Dong-su

机构地区：[1]赣州市人民医院新生儿科,赣州市341000

出　　处：《护理实践与研究》2020年第14期93-95,共3页Nursing Practice and Research

基　　金：赣州市科技计划(GZ2018ZSF145)。

摘　　要：目的探讨临床护理路径在胎粪吸入综合征(MAS)患儿中的应用效果。方法选取2018年11月至2019年11月本院收治的MAS患儿60例,以随机数字表法等分为对照组与观察组。对照组予以常规护理,观察组实施临床护理路径干预。比较两组患儿血气指标、症状消失时间、住院时间及生长发育情况。结果观察组干预后SpO 2,PaO 2值均较高于对照组(P<0.05),PaCO 2值低于对照组(P<0.05),患儿呼吸困难、肺部啰音、发绀与呻吟症状消失时间以及住院时间均短于对照组(P<0.05)。结论对MAS患儿采取临床护理路径干预可改善患儿血气指标,缩短症状消失时间与住院时间,值得临床推广应用。Objective To explore the application effect of clinical nursing pathway in children patients with meconium aspiration syndrome(MAS).Methods To select 60 children patients with MAS admitted to our hospital from November 2018 to November 2019,and they were divided into a control group and an observation group by random number table method.The control group received routine nursing,and the observation group implemented clinical nursing pathway intervention.The blood gas indexes,time of symptom disappearance,hospitalization time and growth and development of the two groups were compared.Results After intervention,the SpO 2 and PaO 2 in the observation group were higher than those in the control group(P<0.05),the PaCO 2 was lower than that in the control group(P<0.05),and the time of symptoms disappearance of dyspnea,pulmonary rales,cyanosis and groaning,and hospital stay were shorter than those in the control group(P<0.05).Conclusion The intervention of clinical nursing pathway for children patients with MAS can improve the blood gas indexes of the children patients and shorten the time of symptom disappearance and hospital stay.It was worthy of clinical promotion and application.

关 键 词：新生儿 胎粪吸入综合征 临床护理路径 血气指标 症状消失时间 

分 类 号：R473.72[医药卫生—护理学]