体位变换在早产新生儿呼吸窘迫综合征机械通气患儿中的应用效果  

Application effect of body position change in mechanical ventilation of premature neonates with respiratory distress syndrome

作　　者：赵江华 陈云 蒋珺 ZHAO Jianghua;CHEN Yun;JIANG Jun(Department of Neonatology,the Fourth People’s Hospital of Zhenjiang City,Jiangsu Province,Zhenjiang 212000,China)

机构地区：[1]江苏省镇江市第四人民医院新生儿科,江苏镇江212000

出　　处：《妇儿健康导刊》2025年第4期143-146,155,共5页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨体位变换在早产新生儿呼吸窘迫综合征(NRDS)机械通气患儿中的应用效果。方法采用目的抽样法纳入镇江市第四人民医院新生儿科2022年2月至2024年2月收治的80例早产NRDS机械通气患儿,采用奇偶数法分为两组,各40例。对照组予以常规护理,观察组联合体位变换,比较两组血气指标、血流动力学指标、呼吸力学指标、并发症发生率、治疗相关时间。结果护理后,与对照组比较,观察组动脉血氧分压、中心静脉压、肺顺应性均更高,动脉血二氧化碳分压、心率、平均动脉压、平均气道压和气道平台压均更低(P<0.05)。与对照组(27.50%)比较,观察组肺动脉高压、肺出血、呼吸机相关性肺炎、心律失常等并发症总发生率(10.00%)更低(P<0.05)。与对照组比较,观察组机械通气时间、重症监护时间、住院时间均更短(P<0.05)。结论体位变换对早产NRDS机械通气患儿血气指标、血流动力学指标、呼吸力学指标均可产生积极影响,同时也能降低并发症发生率,缩短治疗相关时间。Objective To explore the application effect of body position change in mechanical ventilation of premature newborns with respiratory distress syndrome(NRDS).Methods Eighty premature NRDS mechanically ventilated children were enrolled in the Department of Neonatology,the Fourth People’s Hospital of Zhenjiang City from February 2022 to February 2024 by purposeful sampling.The children were divided into two groups by odd-even number method,with 40 cases in each group.The control group was given routine care,and the observation group was combined with body position change.The blood gas indexes,hemodynamic indexes,respiratory mechanics indexes,incidence of complications and treatment-related time were compared between the two groups.Results After nursing,the partial pressure of oxygen in arterial blood,central venous pressure and lung compliance in the observation group were all higher,while the partial pressure of carbon dioxide in arterial blood,heart rate,mean arterial pressure,average airway pressure and airway plateau pressure were all lower compared with the control group(P<0.05).The total incidence of complications such as pulmonary hypertension,pulmonary hemorrhage,ventilator-associated pneumonia,arrhythmia in the observation group(10.00%)was lower than 27.50%in the control group(P<0.05).The mechanical ventilation time,intensive care unit time and hospitalization time in the observation group were shorter compared with the control group(P<0.05).Conclusion Body position change can have a positive effect on blood gas indexes,hemodynamics indexes and respiratory mechanics indexes of premature NRDS children with mechanical ventilation,and can also effectively reduce the incidence of complications and shorten the treatment-related time.

关 键 词：体位变换 早产 新生儿呼吸窘迫综合征 机械通气 呼吸功能 

分 类 号：R473.72[医药卫生—护理学]