不同氧疗方式在NRDS撤机后呼吸支持中的效果观察

Different Ways of Oxygfn Therapy in Nrds Effect Observed in Breathing After Ventilator Support

目的探讨撤机后的NRDS患儿予不同氧疗方式:即鼻导管吸氧、头罩吸氧及暖箱吸氧时呼吸及TcSO2情况的不同,进而比较不同氧疗方式护理的优缺点,对以后的护理工作起指导作用。方法对75例撤机后NRDS患儿分别予鼻导管吸氧、头罩吸氧及暖箱吸氧,并给予及时安全的护理,进而对患儿呼吸及TcSO2情况进行比较。结果鼻导管吸氧组与头罩吸氧组的呼吸及TcSO2分别相比,F=50.98及24.01,P<0.05,差异有统计学意义;鼻导管吸氧组与暖箱吸氧组的呼吸及TcSO2分别相比,F=27.184及17.429,均P<0.05,差异有统计学意义;头罩吸氧组与暖箱吸氧组的呼吸及TcSO2分别相比,F=1.279及0.047,P>0.05,差异无显著性。结论新生儿氧疗方式中以鼻导管吸氧效果最佳,而头罩吸氧及暖箱吸氧效果并无明显差异。

Objective To investigate the withdraw machine after NRDS children with different oxygen cure ways： namely, oxygen inhalation through nasal catheter and oxygen to breathe in hood and breathing oxygen in warm box, thus the breath and TcSO2 situation are different. Compare the advantages and disadvantages of different oxygen therapy ways, it can guidance for future nursing work. Methods Choose 75 cases of children of NRDS who were after the ventilator, and we gave them different oxygen cure ways and timely and safe nursing. Analysis of the breath and TcSO2 situation is important in the comparison. Results The group of oxygen to breathe in hood was compared with oxygen inhalation through nasal catheter about the breath and TcSO2 situation, F = 50.98 and 24.01, P 〈 0.05, the difference was statistically significant; The group of oxygen inhalation through nasal catheter was compared with breathing oxygen in warm box about the breath and TcSO2 situation, F = 27. 184 and 17. 429, P〈 0.05, there was statistically significant difference; At last, The group of oxygen to breathe in hood was compared with breathing oxygen in warm box, F = 1. 279 and 0. 047, P 〉0.05, there was no significant difference. Conclusion Oxygen inhalation through nasal catheter work best in the three oxygen cure ways. Oxygen to breathe in hood and in warm box are same.