袋鼠式护理在NICU无创CPAP辅助通气患儿中的效果分析  

Effect Analysis of Kangaroo Nursing in NICU Non-invasive CPAP-assisted Ventilation

作　　者：廖燕瑜 LIAO Yan-yu(Department of Neonatology,Xiamen Children's Hospital,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门市儿童医院新生儿科,福建厦门361000

出　　处：《中外医疗》2020年第30期151-153,共3页China & Foreign Medical Treatment

摘　　要：目的分析袋鼠式护理在NICU无创CPAP辅助通气患儿中的效果。方法便利选取2016年3月-2019年3月NICU无创CPAP辅助通气患儿(n=70),根据入院时间分为研究组(n=35)与对照组(n=35)。对照组给予常规护理,研究组行常规护理+袋鼠式护理。对比两种干预方法应用效果、血氧分压、心率、血氧饱和度、家长舒适度、呼吸频率。结果研究组总有效率(100.00%)高于对照组(68.57%)。干预前,两组患儿呼吸频率差异无统计学意义(P>0.05);干预20 min、1 h、2 h后,研究组呼吸频率低于对照组(P<0.05)。两组患儿血氧分压分别为(71.41±5.25)、(62.74±6.24)mmHg,心率分别为(150.74±15.02)、(160.87±18.47)次/min,血氧饱和度分别为(96.64±1.32)、(91.42±1.04)%,研究组患儿各项指标参数均优于对照组(t=6.290、2.520、18.380,P<0.05)。结论袋鼠式护理对NICU无创CPAP辅助通气患儿生命体征稳定有积极作用,提高护理效果、患儿更容易耐受,亟待在临床推广中应用。Objective To analyze the effect of kangaroo nursing in NICU non-invasive CPAP-assisted ventilation.Methods The study sample was conveniently selected as NICU non-invasive CPAP-assisted ventilation children(n=70)from March2016 to March 2019.According to the time of admission,they were divided into study group(n=35)and control group(n=35).The control group was given routine care,and the study group was given routine care+kangaroo care.Compare the application effects of two intervention methods;and blood oxygen partial pressure,heart rate,blood oxygen saturation,parental comfort,respiratory rate.Results The total effective rate(100.00%)of the study group was higher than that of the control group(68.57%).Before intervention,there was no statistically significant difference in respiratory rate between the two groups(P>0.05).After 20 min,1 h,and 2 h intervention,the respiratory rate of the study group was lower than that of the control group(P<0.05).The blood oxygen partial pressures of the two groups were(71.41±5.25)mmHg,(62.74±6.24)mmHg,the heart rates are(150.74±15.02)times/min,(160.87±18.47)times/min,the blood oxygen saturation was(96.64±1.32)%,(91.42±1.04)%.All index parameters of children in the study group were higher than those in the control group(t=6.290,2.520,18.380,P<0.05).Conclusion Kangaroo nursing has a positive effect on stabilizing the vital signs of children with NICU non-invasive CPAP-assisted ventilation,improves the nursing effect,and the children are more easily tolerated.It urgently needs to be applied in clinical promotion.

关 键 词：袋鼠式护理 NICU 无创CPAP 辅助通气 护理效果 

分 类 号：R473[医药卫生—护理学]