早产儿应用无创通气的护理研究

Nursing study of noninvasive ventilation on premature infants

目的 总结无创通气应用于早产儿的临床护理措施.方法 选择2010年6月～2012年12月本科收治的42例实施无创通气的早产儿作为研究对象,回顾性分析其临床护理资料,总结其临床护理措施.结果 42例早产儿通气时间为21～32 h,平均（26.56±5.21）h;治愈41例,1例撤机失败后给予气管插管通气无创通气,治愈率为97.62％;治疗后患儿PaO2为（68.50±12.20） mmHg,明显高于治疗前的（45.23±10.30）m mHg,差异有统计学意义（P＜0.05）;治疗后患儿PaCO2为（36.30±11.40） mm Hg,明显低于治疗前的（57.50±12.30） mm Hg,差异有统计学意义（P＜0.05）.结论 无创通气能明显改善早产儿的肺功能,应用方便,辅以合理有效的护理措施可显著减少并发症的发生,值得推广应用.

Objective To summarize the clinical nursing measures of noninvasive ventilation on premature infants. Methods 42 cases with premature infants in our department from June 2010 to December 2012 applied with noninvasive ventilation were selected as research objects.The clinical nursing data was retrospectively analyzed in order to summarize the nursing measures.Results The duration of ventilation in premature infants ranged from 21 to 32 hours,at an average of （26.56±5.21）hours.41 cases successfully accepted noninvasive ventilation,1 case failed due to failure of ventilator weaning,which was later provided with tracheal intubation for ventilation,the final cure rate of noninvasive ventilation was 97.62%.The PaO2 after treatment was （68.50±12.20）mm Hg, significantly higher than before treatment [（45.23±10.30）mm Hg],with statistical difference （P〈0.05）.The PaCO2 after treatment was （36.30±11.40）mm Hg,significantly lower than before treatment [（57.50±12.30）mm Hg],with statistical difference （P〈0.05）.Conclusion Noninvasive ventilation can greatly improve the lung function of premature infants.h is convenient when using and can reduce the occurrence of complications if assisting with reasonable and effective nursing measures,which is worthy of expansion.