抚触联合体位干预在新生儿肺炎中的效果及对肺部湿啰音消失时间的影响  

The Effect of Touch Combined with Position Intervention in Neonatal Pneumonia and Its Impact on the Disappearance Time of Lung Moist Rale

作　　者：邱淑华 张明娟 QIU Shuhua;ZHANG Mingjuan(Xiamen University Affiliated Women and Children's Hospital,Xiamen 361000,China;不详)

机构地区：[1]厦门大学附属妇女儿童医院(厦门市妇幼保健院),福建厦门361000

出　　处：《中国医学创新》2023年第36期115-118,共4页Medical Innovation of China

摘　　要：目的:探讨针对新生儿肺炎开展抚触联合体位干预所取得的效果及对肺部湿啰音消失时间产生的影响。方法:选取2022年1月—2023年1月厦门大学附属妇女儿童医院急诊科新生儿肺炎共计80例,均采用相同的新生儿肺炎治疗方法,随机分组,各40例,对照组运用常规干预方案,观察组运用抚触联合体位干预方案,对比两组症状消失时间、血氧指标、免疫功能指标、不良事件发生率。结果:观察组气促缓解时间、咳嗽缓解时间、湿啰音缓解时间、哮鸣音缓解时间、住院天数均优于对照组(P<0.05)。干预前,两组血氧指标即血氧分压(PaO_(2))、血二氧化碳分压(PaCO_(2))、血氧饱和度(SpO_(2))差异均无统计学意义(P>0.05),干预7 d后,PaCO_(2)均降低,其余指标均上升,且与对照组比较,观察组均更优(P<0.05)。干预前,两组免疫功能指标即免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM)差异均无统计学意义(P>0.05),干预7 d后,各值均有上升,且与对照组比较,观察组均更高(P<0.05)。观察组无呛奶、循环衰竭、抽搐不良事件发生,对照组不良事件发生率为10.00%,差异有统计学意义(P<0.05)。结论:针对新生儿肺炎,重视开展抚触联合体位干预,可加速症状缓解,改善血氧状况,增强免疫功能,且可减少不良事件。Objective:To explore the effects of touch combined with position intervention on neonatal pneumonia and its impact on the disappearance time of lung moist rale.Method:From January 2022 to January2023,a total of 80 cases of neonatal pneumonia in the Emergency Department of Xiamen University Affiliated Women and Children's Hospital were selected,all of which were treated with the same neonatal pneumonia method.They were randomly divided into two groups,with 40 cases in each group.The control group received routine intervention,while the observation group received a combination of touch and position intervention.The time of symptom disappearance,blood oxygen index,immune function index and adverse event occurrence rate were compared between the two groups.Result:The observation group had better relief time for shortness of breath,cough,moist rale,wheezing and hospital stay than those in the control group (P<0.05).Before intervention,there were no statistically significant differences in blood oxygen indicators including partial pressure of oxygen (PaO_(2)),partial pressure of carbon dioxide (PaCO_(2)) and blood oxygen saturation (SpO_(2)) between the two groups (P>0.05).After 7 d of intervention,PaCO_(2) were decreased,and the other indicators were increased,and the indicators in the observation group were better than those in the control group (P<0.05).Before intervention,there were no statistically significant differences in the immune function indicators such as immunoglobulin A (IgA),immunoglobulin G (IgG),and immunoglobulin M (IgM) between the two groups (P>0.05).After 7 d of intervention,all values increased,and compared with the control group,those in the observation group were higher (P<0.05).There was no choking,circulatory failure and convulsion in the observation group,while the incidence of adverse events in the control group was 10.00%,the difference was statistically significant (P<0.05).Conclusion:For neonatal pneumonia,emphasizing the combination of touch and position intervention can accelerate symp

关 键 词：新生儿肺炎 抚触干预 体位干预 肺部湿啰音 

分 类 号：R473.72[医药卫生—护理学]