全人照护对早产儿呼吸窘迫综合征机械通气治疗患儿血气和肺氧合的影响  

Effects of whole-person care in mechanical ventilation treatment of premature infants with respiratory distress syndrome on their blood gas and lung oxygenation

作　　者：刘阳 刘欣 王东颖 LIU Yang;LIU Xin;WANG Dongying(Tangshan Maternal and Child Health Care Hospital,Tangshan,Hebei Province,063000)

机构地区：[1]河北省唐山市妇幼保健院,063000

出　　处：《中国计划生育学杂志》2024年第6期1350-1355,共6页Chinese Journal of Family Planning

摘　　要：目的:探讨全人照护对早产儿呼吸窘迫综合征(RDS)机械通气治疗患儿血气和肺氧合的影响。方法:选择2022年9月-2023年9月在本院治疗的RDS早产儿92例,随机数字表法分为对照组(n=46,采用常规护理干预)及观察组(n=46,在对照组基础上采用全人照护干预),比较两组患儿病情、肺损伤情况、血气指标、呼吸动力学、肺氧合功能及并发症发生率。结果:干预后,两组患儿疾病危重总占比均降低且观察组(39.1%)低于对照组(65.2%),两组患儿肺损伤评分均降低且观察组(39.1%)低于对照组(65.2%),两组患儿动脉氧分压、血氧饱和度均升高且观察组(82.39±3.07 mmHg、96.86%±0.78%)高于对照组(80.18±3.14 mmHg、96.38%±0.83%),两组患儿动脉二氧化碳分压均降低且观察组(40.15±1.57 mmHg)低于对照组(41.02±1.43 mmHg),两组患儿吸气峰压、胸肺顺应性均升高且观察组高于对照组,两组患儿呼吸频率均降低且观察组(22.15±0.58次/min)低于对照组(22.54±0.49次/min),两组患儿呼吸指数及氧合指数均降低且观察组(6.48±1.37、1.59±0.34)低于对照组(7.31±1.25、1.84±0.31),患儿并发症发生率观察组(2.2%)低于对照组(13.0%)(均P<0.05)。结论:采用全人照护干预可减轻RDS早产儿接受机械通气治疗后的疾病危重程度,改善肺损伤情况、血气指标、呼吸功能及肺氧合功能,减少并发症发生。Objective:To study the effects of whole-person care in mechanical ventilation treatment of premature infants with respiratory distress syndrome(RDS)on their blood gas and lung oxygenation.Methods:92 premature infants with RDS treated in hospital were selected and were divide into control group(46 cases with routine nursing intervention)and observation group(46 cases with whole-person care intervention combined with routine nursing intervention)by random number table method from September 2022 to September 2023.The severity of disease,the lung injury situation,the values of blood gas indexes,the respiratory dynamics,the pulmonary oxygenation function and the incidence rate of complications were compared between the two groups.Results:The total proportion of the infants with critically ill in the two groups after intervention had decreased significantly,and which(39.1%)of the infants in the observation group was significantly lower than that(65.2%)of the infants in the control group.The lung injury score of the infants in the two groups had decreased significantly,and which(39.1%)of the infants in the observation group was significantly lower than that(65.2%)of the infants in the control group.The values of arterial oxygen partial pressure and blood oxygen saturation of the infants in the two groups had increased significantly,and which(82.39±3.07mmHg and 96.86%±0.78%)of the infants in the observation group were significantly higher than those(80.18±3.14mmHg and 96.38%±0.83%)of the infants in the control group.The arterial carbon dioxide partial pressure value of the infants in the two groups had decreased significantly,and which(40.15±1.57 mmHg)of the infants in the observation group was significantly lower than that(41.02±1.43 mmHg)of the infants in the control group.The values of peak inspiratory pressure and thoracic lung compliance of the infants in the two groups had increased significantly,and which of the infants in the observation group were significantly higher than those of the infants in the contr

关 键 词：早产儿 呼吸窘迫综合征 机械通气 全人照护 肺损伤 血气指标 呼吸动力学 并发症 

分 类 号：R473.72[医药卫生—护理学]