简易经鼻持续下压通气鼻塞装置持续加压给氧治疗新生儿呼吸窘迫综合征的护理干预

Application of nursing intervention in the treatment of neonatal respiratory distress syndrome through continuous pressuring oxygen using the stuffy nose device of the simply nasal continuous positive airway pressure

目的：探讨全面的护理干预在简易经鼻持续下压通气（ CPAP）鼻塞装置持续加压给氧治疗新生儿呼吸窘迫综合征（ NRDS）中应用的临床疗效。方法采用回顾性分析方法，将2012年9月-2013年4月收治的92例NRDS患儿随机分为对照组和观察组，各46例，对照组单纯给予简易CPAP鼻塞装置持续加压给氧治疗，观察组在对照组基础上配合全面的护理干预，比较分析两组患儿血气分析结果、胸片改善时间、住院时间及并发症发生情况。结果护理后观察组患儿PaO2（10．96±2．37） kPa，高于对照组（8．79±2．41）kPa；PaCO2（5．32±1．04）kPa，低于对照组（6．42±1．10）kPa；两组比较差异均有统计学意义（t值分别为4．253，4．702；P＜0．05）。观察组患儿胸片改善时间及住院时间分别为（1．22±0．23），（10．07±1．19）d，对照组分别为（3．25±0．41），（18．25±1．21）d，两组比较差异有统计学意义（ t值分别为5．052，4．875；P＜0．05）。观察组并发症发生率为10．87％，对照组为30．43％，两组比较差异有统计学意义（χ2＝4．326，P＜0．05）。结论简易经鼻持续下压通气鼻塞装置持续加压给氧治疗NRDS疗效确切，给予全面的护理干预后，可迅速改善患儿临床症状，缩短患儿康复时间，提高患儿安全性高，值得临床广泛推广和应用。

Objective To explore the clinical efficacy of application of comprehensive nursing intervention in the treatment of neonatal respiratory distress syndrome （ NRDS ） through continuous pressuring oxygen using the stuffy nose device of the simply nasal continuous positive airway pressure （ CPAP ） . Methods Ninety-two NRDS children from September 2012 to April 2013 were chosen and were divided into the control group and the observation group according to the retrospective analysis , each with 46 cases.The control group received the continuous pressuring oxygen using the stuffy nose device of the simply nasal CPAP , and the observation group received the comprehensive nursing intervention on the basis of the control group .The results of blood gas, the improvement time of chest X-ray, hospitalization time and the occurrence of complications were compared between two groups .Results The PaO2 was （10.96 ±2.37） kPa in the observation group , and was higher than （8.79 ±2.41） kPa in the control group; the PaCO2 was （5.32 ±1.04） kPa in the observation group, and was lower than （6.42 ±1.10） kPa in the control group, and the differences were statistically significant （t =4.253,4.702, respectively; P ＆lt;0.05）.The improvement time of chest X-ray and hospitalization time were respectively （1.22 ±0.23）, （10.07 ±1.19） d in the observation group, and were （3.25 ±0.41）, （18.25 ±1.21） d in the control group, and the differences were statistically significant （t=5.052,4.875, respectively;P〈0.05）.The incidence rate of complication was 10.87% in the observation group, and was 30.43%in the control group, and the difference was statistically significant （χ2 =4.326,P〈0.05）.Conclusions Application of the continuous pressuring oxygen using the stuffy nose device of the simply nasal CPAP is very effective in treating the NRDS , and can quickly improve the clinical symptoms in children after the comprehensive nursing intervention , and can shorten the rehabilitation time , and increase the safety , and was worthy of clinical promotion and application .