新生儿高压氧舱治疗的安全管理及护理策略

Security control and nursing for neonatal hyperbaric oxygen treatment

目的探讨新生儿高压氧舱治疗的安全管理措施及护理策略。方法对需行高压氧治疗的210例新生儿,在高压氧舱治疗中,细化管理制度,规范操作方法 ,做好在治疗中可能出现问题的处理预案。结果 210例患儿均安全出舱,出现哭闹32例,呕吐10例,中耳气压伤3例,感染2例,其余病例均未出现不良反应,无意外事故发生。结论只要掌握好适应症和禁忌症,健全安全管理制度,严格操作程序,做好不良反应处理预案,对新生儿高压氧舱治疗是安全有效的。

Objective To make neonatal patients complete hyperbaric oxygen treatment safely and successfully and to prevent the side-effects and accidents.Methods Establish full regulatory system and standard operation procedure,make emergency response plan to deal with the suddenly accidents occuring in the treatment.Results 210 neonatal patients go out of the oxygen chamer successfully.There were 32 patients with crying,10 patients with vomiting,3 patients with barotrauma of middle ear,and 2 patients with infection,Other patients did not show any adverse effects and side-effects of hyperbaric oxygen.There was no accidents happened.Conclusion Hyperbaric oxygen treatment for neonate is safe and effective, as long as to fully handle the indication and contraindication,to perfect the security control system,standard operation procedure,and emergency response plan.