不同体位护理在早产儿呼吸窘迫综合征机械通气中的应用效果分析  

Effect of Different Postures Nursing on Mechanical Ventilation in Premature Infants with Respiratory Distress Syndrome

作　　者：连廷廷 Lian Tingting(Department of Neonatology,Tai'an Maternal and Child Health Hospital,Tai'an 271000,Shandong Province,China)

机构地区：[1]泰安市妇幼保健院新生儿科,山东泰安271000

出　　处：《中国社区医师》2024年第23期92-94,共3页Chinese Community Doctors

摘　　要：目的:探讨不同体位护理在早产儿呼吸窘迫综合征机械通气中的应用效果。方法:选取2021年10月—2023年5月于泰安市妇幼保健院行机械通气治疗的呼吸窘迫综合征早产儿68例作为研究对象,随机分为观察组和对照组,各34例。两组早产儿均实施机械通气,治疗期间,对照组实施常规仰卧位护理,观察组实施仰卧位-侧卧位-俯卧位交换体位护理。比较两组血气分析指标、呼吸动力学、血流动力学、并发症发生情况和治疗时间。结果:护理后,两组酸碱度、动脉血氧分压、氧合指数值高于护理前,观察组高于对照组,两组动脉血二氧化碳分压低于护理前,观察组低于对照组,差异有统计学意义(P<0.05)。护理后,观察组气道阻力、胸肺顺应性值高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率(5.88%)低于对照组(26.47%),差异有统计学意义(P<0.05)。观察组机械通气时间、住院时间短于对照组,差异有统计学意义(P<0.05)。结论:相比常规仰卧位护理,仰卧位-侧卧位-俯卧位交换体位护理在呼吸窘迫综合征早产儿机械通气治疗中应用有明显优势,可以显著改善早产儿的血气分析、呼吸动力学指标,减少并发症,缩短其治疗时间。Objective:To explore the effect of different postures nursing on mechanical ventilation of premature infants with respiratory distress syndrome.Methods:Sixty-eight premature infants with respiratory distress syndrome who received mechanical ventilation treatment in Tai'an Maternal and Child Health Hospital from October 2021 to May 2023 were selected as the study objects,and were randomly divided into observation group and control group,with thirty-four cases in each group.Both groups were given mechanical ventilation.During the treatment period,the control group was given routine supine position nursing,and the observation group was given supine-lateral-prone position exchange nursing.Blood gas analysis indexes,respiratory dynamics,hemodynamics,complications and treatment time were compared between the two groups.Results:After nursing,pH,partial pressure of arterial blood oxygen and oxygenation index of two groups were higher than before nursing,and observation group was higher than control group,the arterial blood carbon dioxide content of the two groups was lower than before nursing,and the observation group was lower than the control group,the difference was statistically significant(P<0.05);after nursing,the airway resistance and chest and lung compliance values of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05);the incidence of complications in the observation group(5.88%)was lower than that in the control group(26.47%),and the difference was statistically significant(P<0.05);the mechanical ventilation time and hospitalization time in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:Compared with conventional supine nursing,supine-lateral-prone exchange nursing has obvious advantages in the mechanical ventilation treatment of premature infants with respiratory distress syndrome,which can significantly improve blood gas analysis and respiratory dyna

关 键 词：早产儿 呼吸窘迫综合征 机械通气 仰卧位 仰卧位-侧卧位-俯卧位交换体位 

分 类 号：R722.6[医药卫生—儿科]