焦点记录法在NRDS机械通气中的护理价值  

Nursing Value of Focus Recording Method in Mechanical Ventilation for NRDS

作　　者：陈霜凌 赵倩真 郭英鸽 CHEN Shuangling;ZHAO Qianzhen;GUO Yingge(Hospitalization Service Center,Zhumadian Central Hospital,Zhumadian 463000,China;Department of Neonatology,Zhumadian Central Hospital,Zhumadian 463000,China)

机构地区：[1]驻马店市中心医院住院服务中心,河南驻马店463000 [2]驻马店市中心医院新生儿科,河南驻马店463000

出　　处：《临床医学工程》2024年第2期227-228,共2页Clinical Medicine & Engineering

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20231013)。

摘　　要：目的 探讨焦点记录法在新生儿呼吸窘迫综合征(NRDS)机械通气中的护理价值。方法 选取我院2019年3月至2022年3月收治的120例NRDS患儿,随机分为两组各60例。对照组接受常规护理干预,观察组接受焦点记录法护理干预。比较两组的血气指标、机械通气时间、住院时间以及并发症发生率。结果 干预后,两组的SpO_(2)和PaO_(2)均显著升高,PaCO_(2)均显著降低,且观察组的SpO_(2)和PaO_(2)均显著高于对照组,PaCO_(2)显著低于对照组(P <0.05)。干预后,观察组的机械通气时间和住院时间均显著短于对照组(P <0.05)。观察组的并发症发生率为3.33%,显著低于对照组的15.00%(P <0.05)。结论 焦点记录法应用于NRDS机械通气中能够改善患儿的血气指标,缩短机械通气时间和住院时间,减少与机械通气相关并发症的发生。Objective To explore the nursing value of focus recording method in mechanical ventilation for neonatal respiratory distress syndrome(NRDS).Methods 120 neonates with NRDS admitted to our hospital from March 2019 to March 2022 were selected and randomly divided into two groups,with 60 cases in each group.The control group received routine nursing intervention,and the observation group received nursing intervention of focus recording method.The blood gas indicators,mechanical ventilation time,hospitalization time and incidence of complications were compared between the two groups.Results After intervention,SpO_(2) and PaO_(2) in the two groups increased significantly,and PaCO_(2) decreased significantly;SpO_(2) and PaO_(2) in the observation group were significantly higher than those in the control group,and PaCO_(2) was significantly lower than that in the control group(P <0.05).After intervention,the mechanical ventilation time and hospitalization time in the observation group were significantly shorter than those in the control group(P <0.05).The incidence of complications in the observation group was 3.33%,significantly lower than 15.00% in the control group(P <0.05).Conclusions The application of focus recording method in mechanical ventilation for NRDS can improve the blood gas indicators of neonates,shorten the mechanical ventilation time and hospitalization time,and reduce the occurrence of complications related to mechanical ventilation.

关 键 词：焦点记录法 护理干预 机械通气 血气指标 

分 类 号：R473.72[医药卫生—护理学]