静疗专科护理联合温盐水热敷配合送管护理对小儿重症肺炎穿刺置管时疼痛程度及生理反应的影响  

Effect of intravenous therapy specialist nursing combined with warm saline hot compress combined with tube delivery nursing on pain degree and physiological response in puncture and catheterization of children with severe pneumonia

作　　者：吕媛 樊文英 LYU Yuan;FAN Wenying(Pediatrics Department,the People's Hospital of Qianyang County,Baoji 721100,China)

机构地区：[1]千阳县人民医院儿科,陕西宝鸡721100

出　　处：《临床医学研究与实践》2025年第7期183-186,共4页Clinical Research and Practice

摘　　要：目的探究静疗专科护理联合温盐水热敷配合送管护理对小儿重症肺炎穿刺置管时疼痛程度及生理反应的影响。方法选择2021年12月至2022年12月我院收治的300例重症肺炎穿刺置管患儿为研究对象,按照随机数字表法将其分为对照组和观察组,每组150例。对照组给予常规穿刺及护理干预,观察组给予静疗专科护理联合温盐水热敷配合送管护理。比较两组的干预效果。结果置管后30 min,观察组的前列腺素E2(PGE2)、多巴胺(DA)水平及新生儿疼痛评估量表(NIPS)评分均低于对照组(P<0.05)。置管后30 min,观察组的心率低于对照组,血氧饱和度高于对照组(P<0.05)。观察组的不良事件总发生率显著低于对照组(P<0.05)。结论静疗专科护理联合温盐水热敷配合送管护理用于小儿重症肺炎穿刺置管中可降低疼痛程度,减轻生理反应,降低穿刺置管不良事件发生率,值得推广。Objective To explore the effect of intravenous therapy specialist nursing combined with warm saline hot compress combined with tube delivery nursing on pain degree and physiological response in puncture and catheterization of children with severe pneumonia.Methods A total of 300 children with severe pneumonia who underwent puncture and catheterization in our hospital from December 2021 to December 2022 were selected as the research objects.According to the random number table method,the children were divided into control group and observation group,with 150 cases in each group.The control group was given routine puncture and nursing intervention,and the observation group was given intravenous therapy specialist nursing combined with warm saline hot compress combined with tube delivery nursing.The intervention effects of the two groups were compared.Results At 30 min after catheterization,the levels of prostaglandin E2(PGE2),dopamine(DA)and Neonatal Infant Pain Scale(NIPS)scores in the observation group were lower than those in the control group(P<0.05).At 30 min after catheterization,the heart rate of the observation group was lower than that of the control group,and the blood oxygen saturation was higher than that of the control group(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group(P<0.05).Conclusion Intravenous therapy specialist nursing combined with warm saline hot compress combined with tube delivery nursing applied in the puncture and catheterization of children with severe pneumonia can reduce the degree of pain,mitigate the physiological response,and reduce the incidence of adverse events of puncture and catheterization,which is worthy of promotion.

关 键 词：静疗专科护理 温盐水热敷 送管护理 重症肺炎 穿刺置管 

分 类 号：R473[医药卫生—护理学]