集束化呼吸道护理对新生儿肺炎血气指标及临床症状的影响  

Effect of cluster respiratory nursing on the blood gas index and clinical symptoms of neonatal pneumonia

作　　者：马金红[1] 李梦娇 高媛媛[1] 孟丽颖 许海娟 张迪[1] MA Jinhong;LI Mengjiao;GAO Yuanyuan;MENG Liying;XU Haijuan;ZHANG Di(Department of Neonatology,First Hospital of Qinhuangdao,Qinhuangdao Hebei 066000,China)

机构地区：[1]秦皇岛市第一医院新生儿科,河北秦皇岛066000

出　　处：《临床与病理杂志》2021年第12期2936-2940,共5页Journal of Clinical and Pathological Research

基　　金：秦皇岛市科学技术研究与发展计划(201805A164)。

摘　　要：目的:探讨集束化呼吸道护理对新生儿肺炎血气指标及临床症状的影响。方法:将秦皇岛市第一医院2019年1月至2020年9月收治的220例肺炎新生儿进行随机编号,分为对照组(n=110)与观察组(n=110)。对照组采用常规护理,观察组在对照组的基础上采用集束化呼吸道护理。比较两组新生儿的血气指标、临床症状消失时间。结果:与对照组相比,观察组护理干预72h后动脉血氧饱和度、动脉氧分压更高,二氧化碳分压更低,氧合指数>400的比例更高,差异有统计学意义(P<0.05)。观察组的呼吸困难消失时间更早,机械通气时间、住院时间更短,肺部感染评分更低,差异有统计学意义(P<0.05)。结论:集束化呼吸道护理能够加快新生儿肺炎的血气指标改善,缓解呼吸困难。Objective:To investigate the effect of cluster respiratory nursing on the blood gas index and clinical symptoms of neonatal pneumonia.Methods:A total of 220 pneumonia newborns in our hospital from January 2019 to September 2020 were randomly divided into two groups.The control group with 110 cases was treated with routine nursing,and the observation group with 110 cases was clustered to manage respiratory tract on the basis of the control group.The blood gas index and the time of disappearance of clinical symptoms were compared between the two groups.Results:Compared with the control group,after 72 hours of nursing intervention,arterial oxygen saturation and partial pressure of arterial oxygen were higher in the observation group,partial pressure of carbon dioxide was lower,the proportion of oxygenation index >400 in the observation group was higher,and the difference was statistically significant(P<0.05);the time of dyspnea disappearance,mechanical ventilation time and hospitalization time were shorter,the score of pulmonary infection was lower in the observation group,and the difference was statistically significant(P<0.05).Conclusion:Cluster respiratory nursing can accelerate the improvement of blood gas index,alleviate dyspnea,and improve the status of pulmonary infection.

关 键 词：集束化 呼吸道护理 新生儿肺炎 血气指标 临床症状 

分 类 号：R473.72[医药卫生—护理学]