体位管理+体位辅助在极低或超低出生体质量早产儿中的应用价值  

Application Value of Postural Management+Postural Assistance in Very Low or Ultra-low Birth Weight Premature Infants

作　　者：陈丽珠 陈小玲[1] 颜惠萍[1] 张美莉[1] CHEN Lizhu;CHEN Xiaoling;YAN Huiping;ZHANG Meili(Newborn Intensive Care Unit,Quanzhou Children's Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市儿童医院新生儿重症监护室,福建泉州362000

出　　处：《中国医药指南》2023年第3期69-72,共4页Guide of China Medicine

摘　　要：目的 探讨极低或超低出生体质量早产儿开展体位管理联合体位辅助干预的应用价值。方法 选择2021年6月至2022年6月于我院出生的极低或超低出生体质量早产儿100例作为研究对象,根据早产儿出生时间顺序分作对照组(2021年6~12月出生,50例)与观察组(2022年1~6月出生,50例),对照组早产儿采取常规体位管理方式干预,观察组早产儿开展体位管理联合体位辅助联合干预,分别记录两组早产儿成长变化及住院费用、时间,对比组间差异性。观察各组早产儿发生并发症的具体表现,统计总发生概率,调查两组早产儿家属对此次干预服务工作的满意度情况。结果 观察组早产儿每日体质量增长量、出院时体质量均明显高于对照组(P<0.05);两组早产儿住院时间、住院费用组间比较无统计学差异(P>0.05)。同时观察组早产儿发生误吸、呼吸暂停等并发症的总发生概率明显低于对照组(P<0.05)。另外,观察组早产儿家属表示对此次干预服务工作的总满意度高于对照组(P<0.05)。结论 临床针对极低或超低出生体质量早产儿开展体位管理联合体位辅助干预,能够有效促进胎儿体质量的增长,预防并发症,值得运用推广。Objective To explore the application value of postural management combined with postural assistant intervention in very low or ultralow birth weight premature infants. Methods All 100 cases of very low or ultra-low birth weight premature infants born in our hospital from June 2021 to June 2022 were selected as the research objects. According to the birth time sequence of premature infants, they were divided into the control group(50 cases were born from June 2021 to December 2021) and the observation group(50 cases were born from January 2022 to June 2022). The premature infants in the control group took routine posture management intervention, and the premature infants in the observation group carried out posture management combined with posture assistance combined intervention, the growth changes, hospitalization costs and time of premature infants in the two groups were recorded, and the differences between the two groups were compared. Observe the specific manifestations of complications of premature infants in each group, calculate the total probability of occurrence, and investigate the satisfaction of the families of premature infants in the two groups with the intervention service. Results The daily weight gain and discharge weight of premature infants in the observation group were significantly higher than those in the control group(P<0.05);there was no statistical difference between the two groups in terms of length of stay and cost of hospitalization for preterm infants(P>0.05). At the same time, the total probability of aspiration, apnea and other complications of premature infants in the observation group was significantly lower than that in the control group(P<0.05). In addition, the family members of preterm infants in the observation group said that their total satisfaction with the intervention service was higher than that in the control group(P<0.05). Conclusion Posture management combined with postural assistance intervention for very low or ultra-low birth weight premature infants can effectiv

关 键 词：体位管理 体位辅助 极低或超低出生体质量 早产儿 

分 类 号：R72[医药卫生—儿科]