ICU护理风险管理对重症肺炎呼吸机辅助治疗患儿的影响  

Effect of ICU nursing risk management on ventilator-assisted treatment of children with severe pneumonia

作　　者：张永香 ZHANG Yongxiang(Pediatric Intensive Care Unit,Ganzhou Maternal and Child Health Hospital,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市妇幼保健院儿科重症监护病房,江西赣州341000

出　　处：《中国当代医药》2023年第34期176-179,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202312048)。

摘　　要：目的探讨ICU护理风险管理对重症肺炎呼吸机辅助治疗患儿的影响。方法选取2021年12月至2022年11月赣州市妇幼保健院收治的116例重症肺炎呼吸机辅助治疗患儿作为研究对象,按照摸球法分为常规组(58例)和观察组(58例),常规组采用常规ICU护理管理,观察组采用ICU护理风险管理。比较两组的临床指标、动脉血气指标、肺功能指标及并发症发生情况。结果观察组的并发症发生率低于常规组,差异有统计学意义(P<0.05);观察组的呼吸机辅助治疗时长、ICU入住时长、住院时间均短于常规组,差异有统计学意义(P<0.05);干预前,两组的血氧饱和度(SaO_(2))、血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))和二氧化碳总量(TCO_(2))比较,差异无统计学意义(P>0.05);干预后,两组的SaO_(2)、PaO_(2)均高于干预前,PaCO_(2)、TCO_(2)均低于干预前,且观察组的SaO_(2)、PaO_(2)均高于常规组,PaCO_(2)、TCO_(2)均低于常规组,差异有统计学意义(P<0.05)。干预前,两组的用力肺活量(FVC)、第一秒用力呼气容积(FEV1)、FEV1%预计值比较,差异无统计学意义(P>0.05);干预后,两组的FVC、FEV1均大于干预前,FEV1%预计值高于干预前,且观察组的FVC、FEV1均大于常规组,FEV1%预计值高于常规组,差异有统计学意义(P<0.05)。结论对重症肺炎呼吸机辅助治疗患儿实施ICU护理风险管理,可有效降低患儿治疗期间的并发症与缩短临床指标,且加快改善患儿动脉血气指标与肺功能恢复。Objective To explore the influence of ICU nursing risk management on ventilator assisted treatment of children with severe pneumonia.Methods A total of 116 children with severe pneumonia receiving ventilator assisted treatment in Ganzhou Maternal and Child Health Hospital from December 2021 to November 2022 were selected as the study objects.They were divided into routine group(58 cases)and observation group(58 cases)according to ball-touching method.The routine group received routine ICU nursing management,and the observation group received ICU nursing risk management.The clinical indexes,arterial blood gas indexes and lung function indexes and incidence of complications were compared between the two groups.Results The incidence of complications in observation group was lower than that in conventional group,and the difference was statistically significant(P<0.05).The duration of ventilator assisted treatment,ICU stay and hospital stay in the observation group were shorter than those in the conventional group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in blood oxygen saturation(SaO_(2)),blood oxygen partial pressure(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2))and total carbon dioxide(TCO_(2))between the two groups(P>0.05).After intervention,SaO_(2) and PaO_(2) in two groups were higher than before intervention,PaCO_(2) and TCO_(2) were lower than before intervention,and SaO_(2) and PaO_(2) in observation group were higher than conventional group,PaCO_(2) and TCO_(2) were lower than conventional group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in forced vital capacity(FVC),forced expiratory volume in one second(FEV1),predicted value of FEV1%between the two groups(P>0.05).After intervention,FVC and FEV1 in two groups were higher than before intervention,and the predicted value of FEV1%was higher than before intervention,and FVC and FEV1 in observation group we

关 键 词：重症肺炎 呼吸机辅助治疗 护理管理 ICU护理风险管理 

分 类 号：R563.1[医药卫生—呼吸系统]