不同体位管理对早产儿呼吸功能和血氧饱和度及血压的影响  

Effects of different posture management on respiratory function,blood oxygen saturation and blood pressure of premature infants

作　　者：高秀清[1] 杨静[1] 张青 张翠翠 GAO Xiuqing;YANG Jing;ZHANG Qing(Department of Neonatology,Taihe County People’s Hospital(Taihe Hospital Affiliated to Wannan Medical College),Anhui,Taihe 236600,China)

机构地区：[1]安徽省太和县人民医院(皖南医学院附属太和医院)新生儿科,236600

出　　处：《河北医药》2023年第11期1661-1663,1667,共4页Hebei Medical Journal

基　　金：阜阳市科学技术局计划项目(编号:FK202081072)。

摘　　要：目的分析应用不同体位管理对早产儿呼吸功能、血氧饱和度(SpO_(2))、血压的影响。方法选取2021年2月至2022年6月新生儿科收治的早产儿90例为研究对象,根据随机数字表法将患儿分为观察组45例,采用不同体位交换管理)和对照组(45例,采用常规体位管理)。比较2组呼吸功能[气道阻力(Raw)、胸肺顺应性(TC)、呼吸频率(RR)]、血气分析[SpO_(2)、动脉血二氧化碳分压(PaCO_(2))、动脉血氧分压(PaO_(2))]、血压水平[舒张压(DBP)、收缩压(SBP)]、每日睡眠时间、睡眠觉醒次数及并发症发生情况。结果观察组干预后Raw、TC、SpO_(2)、PaO_(2)、DBP、SBP水平均较对照组升高,RR、PaCO_(2)水平均较对照组降低(P<0.05)。与对照组比较,观察组每日睡眠时间更长[(19.87±1.48)h/(17.65±1.36)h],睡眠觉醒次数更少[(5.83±1.55)次/(6.77±1.62)次](P<0.05)。观察组呼吸暂停、皮肤破损、喂养不耐受、皮肤压红等发生率均较对照组低(P<0.05)。结论对早产儿采用不同体位管理能有效改善其呼吸功能、血气分析指标及血压水平,同时预防或减少相关并发症发生,提高患儿睡眠质量。Objective To analyze the effects of different posture management on respiratory function,blood oxygen saturation(SpO_(2))and blood pressure in preterm infants.Methods Ninety premature infants admitted to the Department of Neonatology of our hospital from February 2021 to June 2022 were selected as the research objects.They were randomly divided into the observation group(n=45)and the control group(n=45).Premature infants in observation group and control group were managed by different positions and conventional body position,respectively.Respiratory function(airway resistance[Raw],thoracopulmonary compliance[TC],respiratory rate[RR]),blood gas analysis(SpO_(2),partial pressure of carbon dioxide in arterial blood[PaCO_(2)],partial pressure of oxygen in arterial blood[PaO_(2)]),blood pressure levels(diastolic blood pressure[DBP],systolic blood pressure[SBP]),daily sleep time,number of sleep awakenings and incidence of complications were compared between groups.Results After intervention,the levels of Raw,TC,SpO_(2),PaO_(2),DBP and SBP in the observation group were significantly higher than those in the control group,and the levels of RR and PaCO_(2)were significantly lower(P<0.05).Compared with the control group,the daily sleep time in the observation group was significantly longer([19.87±1.48]h vs[17.65±1.36]h),and the number of sleep awakenings was less([5.83±1.55]times vs[6.77±1.62]times)(P<0.05).The incidence of apnea,skin damage,feeding intolerance and skin redness in the observation group were significantly lower than that in the control group(P<0.05).Conclusion Different posture management can effectively improve respiratory function,blood gas analysis index and blood pressure,prevent or reduce the incidence of related complications,and improve the sleep quality of premature infants.

关 键 词：早产儿 体位管理 呼吸功能 血氧饱和度 血压 

分 类 号：R722.6[医药卫生—儿科]