早产儿原发性呼吸暂停的护理方案比较研究  

A Comparative Study of Care Regimens for Primary Apnea of Prematurity

作　　者：罗敏霞 郭丹苗 谢惠娟 Luo Minxia;Guo Danmiao;Xie Huijuan(Zhaoqing Gaoyao District People's Hospital,Zhaoqing,Guangdong 526020)

机构地区：[1]肇庆市高要区人民医院,广东肇庆526020

出　　处：《科技与健康》2024年第9期97-100,共4页Technology and Health

摘　　要：探讨在枸橼酸咖啡因治疗早产儿原发性呼吸暂停中采取安全舒适护理方案持续干预的效果。选取2017年1月—2022年12月肇庆市高要区人民医院NICU收治的70例胎龄<37周的原发性呼吸暂停早产患儿为研究对象,按护理方案的不同将其分为观察组和对照组两组,每组各35例。两组均采用枸橼酸咖啡因治疗方案,给予常规的氧疗与营养支持治疗,对照组采取常规护理,观察组在其基础上增加安全舒适护理,观察两组患儿的治疗效果和不良事件发生率(误吸、非计划性拔管、医源性皮肤损伤)。结果显示,观察组呼吸暂停发作次数、发作严重程度、呼吸暂停消失时间等指标显著优于对照组(P<0.05);观察组护理不良事件发生率8.57%,低于对照组的22.86%,两组比较差异有统计学差异(P<0.05)。研究发现,对原发性呼吸暂停的早产患儿采用安全舒适护理方案,能提高其治疗效果,降低不良事件的发生率,促进患儿快速康复。To investigate the effects of continuous intervention with a safe and comfortable nursing regimen of caffeine citrate in the treatment of primary apnea of prematurity in preterm infants.From January 2017 to December 2022,70 preterm infants with primary apnea with a gestational age of<37 weeks who were admitted to the NICU of Gaoyao District People's Hospital of Zhaoqing City were selected as the research subjects,and they were divided into two groups,observation group and control group,with 35 cases in each group.Both groups were treated with caffeine citrate,given conventional oxygen therapy and nutritional support,the control group was treated with routine nursing,and the observation group was supplemented with safe and comfortable nursing,and the treatment effect and incidence of adverse events(aspiration,unplanned extubation,iatrogenic skin injury)were observed in the two groups.The results showed that the number of apnea episodes,the severity of the episodes,and the time of apnea disappearance in the observation group were significantly better than those in the control group(P<0.05),and the incidence of nursing adverse events in the observation group was 8.57%,which was lower than that in the control group(22.86%),and the difference between the two groups was statistically significant(P<0.05).Studies have found that the use of a safe and comfortable nursing regimen for preterm infants with primary apnea can improve their treatment efficacy,reduce the incidence of adverse events,and promote rapid recovery of infants.

关 键 词：早产儿 原发性呼吸暂停 枸橼酸咖啡因 安全 舒适护理 

分 类 号：R473.72[医药卫生—护理学]