两种气道湿化与吸痰治疗新生儿肺炎的护理

Comparison Between Effects of two Methods Humidification and Suction on Infant

目的:提高新生儿肺炎救治的护理质量。方法:需要机械通气及气道湿化与吸痰的新生儿肺炎120例,采用气道蒸汽加温湿化和气道滴注生理盐水及两人吸痰为观察组(60例)。呼吸机蒸汽加温湿化及1人吸痰为对照组(60例)。结果:观察组和对照组气管插管堵管率分别为8.33%、25%;观察组和对照组机械通气后24 h血气分析PO2值分别为94.6±1.5%、85.6±1.4%。结论:机械通气的气道湿化与吸痰方式对减少导管堵塞和提高血氧饱和度有积极作用。

Objective.To improve nursing quality of infants with pneumonia. Methods： One hundred and twenty infants with pneumonia was applied mechanical ventilation with humidification and suction. They were randomly divided into 2 groups. The observe group （60 cases） was applied humidification and dropping normal saline in trachea tube and suction with two nurses. The compare group （60 cases） was applied humidification and suction with one nurse. Results： The observe group＇s obstruction rate was 8.330%,and PO2 was 94.6 ±1.5 % in blood gas after mechani cal ventilation for 24 hours; while obstruction rate of the compare group was 25% and PO2 was 85.6 ±1.4% in blood gas after mechanical ventilation for 24 hours. Conclusion： The observe group could decrease the obstruction and improve PO2 in blood gas after mechanical ventilation for 24 hours.