临床护理路径在无创辅助通气治疗新生儿呼吸窘迫综合征中的应用研究  

Application of clinical nursing pathway in non-invasive assisted ventilation in the treatment of neonatal respiratory distress syndrome

作　　者：盛文红 于娜[1] 谭庆 SHENG Wenhong;YU Na;TAN Qing(Children's Hospital of Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西省儿童医院,江西南昌330006

出　　处：《临床医药实践》2023年第6期451-454,共4页Proceeding of Clinical Medicine

基　　金：江西省卫生健康委员会科技计划项目(项目编号:20195586)。

摘　　要：目的:分析临床护理路径在持续气道正压通气(CPAP)持续加压供氧治疗新生儿呼吸窘迫综合征(NRDS)中的应用效果。方法:选取2017年7月—2019年6月收治的NRDS患儿80例,按随机数字表法分为观察组和对照组,每组40例。对照组实施常规护理,观察组实施临床护理路径。对比两组治疗效果、并发症发生率、住院时间及治疗前、后血气指标变化。结果:两组治疗总有效率比较,差异无统计学意义(P>0.05);观察组并发症发生率明显低于对照组,住院时间明显短于对照组,差异均有统计学意义(P<0.05);两组治疗前血氧饱和度(SpO_(2))、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))比较,差异无统计学意义(P>0.05);治疗后观察组SpO_(2),PaO_(2)明显高于对照组,PaCO_(2)明显低于对照组,差异均有统计学意义(P<0.05)。结论:临床护理路径能有效改善CPAP持续加压供氧治疗的NRDS患儿血气指标,降低并发症发生率,缩短恢复时间。Objective:To analyze the effect of clinical nursing pathway in the treatment of neonatal respiratory distress syndrome(NRDS)with continuous positive airway pressure(CPAP)and continuous pressurized oxygen supply.Methods:A total of 80 children with NRDS treated from July 2017 to June 2019 were divided into observation group and control group according to the random number table method,with 40 cases in each group.The control group received routine nursing,and the observation group performed clinical nursing path management.The treatment effect,complication rate,length of hospital stay,and changes in blood gas index before and after were compared between the two groups.Results:There was no significant difference in the total effective rate of treatment between the two groups(P>0.05);the incidence of complications in the observation group was significantly lower than that in the control group(P<0.05);the hospital stay in the observation group was significantly shorter than that in the control group(P<0.05).There was no significant difference in oxygenation(SpO_(2)),arterial partial pressure of oxygen(PaO_(2)),and arterial partial pressure of carbon dioxide(PaCO_(2))before treatment(P>0.05),SpO_(2) and PaO_(2) in the observation group were significantly higher than those in the control group(P<0.05),PaCO_(2) in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:The clinical nursing pathway can effectively improve the blood gas index of children with NRDS treated by CPAP with continuous pressurized oxygen supply,reduce complications and shorten recovery time.

关 键 词：临床护理路径管理 持续气道正压通气 持续加压供氧 新生儿呼吸窘迫综合征 

分 类 号：R473.72[医药卫生—护理学]