摘要
目的分析并评价联合应用机械通气与丙泊酚在治疗小儿重症哮喘方面的临床疗效,并结合治疗效果探讨相应的护理对策。方法对我院自2008年10月～2010年12月期间收治的54例重症哮喘患儿通过联合丙泊酚与机械通气进行治疗,比较治疗前后血气指标的变化情况,并制定相应的护理措施。结果呼吸机通气治疗后的0.5 h、1 h及2 h各时间点的PaO2、SaO2以及PaCO2指标同机械通气前比较差异显著(P<0.05)。全部患儿均在7 d内撤呼吸机并出院。结论在小儿重症哮喘的治疗方面,护理人员要做好心理护理及气道管理,消除患儿的恐惧与孤独心理,重视通气指标的监测,确保分析的准确性。
Objective To analysis and evaluate of combined application of mechanical ventilation with propofol in the treatment of severe asthma with respect to clinical efficacy, and effects of combination treatment to explore the corresponding nursing measures. Methods From 2008 October to 2010 December, a total of 54 cases of severe asthma children treated with combination of propofol and mechanical ventilation, Comparison of blood gas indexes before and after treatment, and to formulate the corresponding nursing measures. Results After 0.5 h, 1 h and 2 h, the PaO2,SaO2 and PaCO2 index are significant difference （P 〈 0.05）. All children in 7 days are removed from the ventilator and released. Conclusion In the treatment of acute severe asthma in children, nursing personnel should do psychological nursing and airway management, eliminate their fear and loneliness, pay attention to ventilation index monitoring, ensure the accuracy of analysis.
出处
《中国现代医生》
2012年第4期126-127,共2页
China Modern Doctor
关键词
小儿重症哮喘
丙泊酚
机械通气
护理
Severe asthma
Propofol
Mechanical ventilation
Nursing
