体位护理对肺炎新生儿痰液排出及住院时间的影响  

Influence of posture nursing on sputum excretion and hospital stay of neonates with pneumonia

作　　者：兰海利[1] 姜艳丽[1] 连金利 LAN Hai-li;JIANG Yan-li;LIAN Jin-li(Department of Neonatology,Zhengzhou First People's Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市第一人民医院新生儿科,河南郑州450000

出　　处：《黑龙江医药科学》2022年第1期136-138,141,共4页Heilongjiang Medicine and Pharmacy

摘　　要：目的:探讨体位护理对肺炎新生儿痰液排出时间及住院时间的影响,为未来临床拟定肺炎新生儿干预计划提供参考。方法:收集本院2018-04~2019-02符合条件且行常规护理干预的43例肺炎患儿临床资料,纳为A组;另收集本院2019-03~2019-12符合条件且行体位护理的46例肺炎患儿临床资料,纳为B组。统计并比较两组痰液排出时间、肺部湿啰音消失时间、住院时间;于干预前、干预7d,检测并比较两组生命体征参数[心率(HR)、血氧饱和度(SpO_(2))、呼吸频率(RR)];于干预前、随访1年,评估并比较两组智力指数[采用贝利婴幼儿发展量表(BSID)中智力量表评估];统计并比较两组干预7d内并发症发生情况。结果:B组痰液排出时间、肺湿啰音消失时间、住院时间均短于A组,差异有统计学意义(P<0.05);干预7d,B组HR、RR水平低于A组,SpO_(2)水平高于A组,差异有统计学意义(P<0.05);随访1年,B组BSID中智力量表评分高于A组,差异有统计学意义(P<0.05);B组并发症总发生率低于A组,差异有统计学意义(P<0.05)。结论:肺炎新生儿采用体位护理较常规护理更利于促进痰液排出,缩短肺湿啰音消失时间及住院时间,患者并发症发生情况减少、生命指征改善,干预1年后的智力指数提高。Objective:To investigate the influence of posture nursing on sputum discharge time and hospitalization time of neonates with pneumonia,and to provide reference for clinical development of intervention plan for neonates with pneumonia.Methods:Clinical data of 43 eligible children with pneumonia who received routine nursing intervention from The First People's Hospital of Zhengzhou city from April 2018 to February 2019 were collected by retrospective analysis,which were included in group A.Clinical data of 46 eligible children with pneumonia who received postural nursing from March 2019 to December 2019 were included in group B.Sputum discharge time,disappearance time of lung wet rales,hospital stay and complications within 7 days of intervention were counted and compared between the two groups.Vital sign parameters,including heart rate(HR),oxygen saturation(SpO _(2))and respiratory rate(RR),were compared between the two groups before and 7 days after intervention.The intelligence indexes of the two groups were compared before intervention and at 1 year follow-up,and the intelligence scale in the Bailey Infant and Child Development Scale(BSID)was used to evaluate.Results:The sputum discharge time,lung wet rales disappearance time and hospital stay time in group B were shorter than those in group A,the difference was statistically significant(P<0.05).After 7 days of intervention,HR and RR levels in group B were lower than those in group A,and SpO_(2) levels were higher than those in group A,with statistical significance(P<0.05).During the 1-year follow-up,BSID score of group B was higher than that of group A,and the difference was statistically significant(P<0.05).The total incidence of complications in group B was lower than that in group A,the difference was statistically significant(P<0.05).Conclusion:The postural nursing of neonates with pneumonia is more beneficial to sputum excretion,shorten the disappearance time of lung wet rales and hospital stay,reduce the incidence of complications,improve the vital indic

关 键 词：新生儿 肺炎 体位护理 体征恢复 智力发育 并发症 

分 类 号：R722.135[医药卫生—儿科]