护理干预对婴儿水合氯醛镇静后复苏的效果

Effect of Nursing Intervention on Recovery of Infants after Chloral Hydrate Sedation

目的探讨护理干预对婴儿使用水合氯醛镇静复苏过程中的影响。方法对使用水合氯醛灌肠镇静辅助行CT,MRI,听力,心脏彩超等检查的婴儿中随机分别抽取250例为观察组和对照组,同时观察患儿的生命体征及吸吮能力。观察组为用药后1小时(±5分钟),实施托下颌试验和斜方肌挤压试验手法干预让患者苏醒来并详细记录用药前后的生命体征和吸吮能力变化。对照组为患儿自然苏醒并详细记录用药前后的生命体征及吸吮能力变化。结果观察组用药后1小时通过手法干预苏醒患儿生命体征变化于用药前波动±10%,患儿能正常进食,对基础疾病影响无统计学意义。对照组患儿生命体征变化于用药前波动±20%,复苏时间延长,患儿进食时间延长而影响基础疾病治疗及药物代谢。结论适宜的手法干预对婴儿使用水合氯醛镇静后的复苏起到了一定的关键作用,在一定的程度上保证了婴儿水合氯醛镇静后的护理安全。

Objective to explore effect of nursing intervention on chloral hydrate sedation and resuscitation of infants.Methods choose 250 infants with chloral hydrate enema sedation and examined with CT,MRI,hearing and color Doppler echocardiography randomly,as observation and control group,observe their vital signs and sucking ability.In observation group,one hour(±5 minutes)after medication,resuscitate patients by means of mandible holding test and trapezius muscle squeezing test through massage intervention,record vital signs and sucking ability changes before and after treatment in details.In control group,patients woke up naturally and record vital signs and sucking ability changes before and after treatment.Results vital signs changes in observation group fluctuated±10%one hour after medication through massage intervention,children could eat normally,effect on basic diseases showed no statistical significance.In control group,vital signs changes fluctuated±20%before medication,resuscitation time was prolonged,and eating time was prolonged,which affected treatment of basic diseases and drug metabolism.Conclusion appropriate manual intervention plays key role in recovery of infants after chloral hydrate sedation,and to a certain extent ensures nursing safety of infants after chloral hydrate sedation.