综合护理在持续气道正压通气CPAP在新生儿呼吸衰竭中的临床应用比较

Clinical application of comprehensive nursing in continuous positive airway pressure(CPAP)in neonatal respiratory failure

目的分析综合护理对实施持续气道正压通气治疗的呼吸衰竭新生儿的作用效果。方法选择本院收治的呼吸衰竭新生儿58例为研究对象,随机分为2组,均实施持续气道正压通气治疗。实验组采取综合护理措施,分析其治疗护理前后血气相关指标p(O2)、p(CO2)、p H的变化,比较2组患儿护理满意度、住院时间、住院费用、疾病认知度。结果与治疗前相比较,实验组p(O2)经CPAP治疗后12 h、24 h明显升高,p(CO2)明显降低,p H升高,差异有统计学意义(P<0.05);对照组p(O2)、p(CO2)、p H较治疗前未见明显变化,差异无统计学意义(P>0.05);经过CPAP治疗后,与对照组比较,实验组p(O2)升高,p(CO2)降低,p H升高,差异有统计学意义P<0.05);治疗后12 h与24 h相比较,实验组p(O2)、p(CO2)、p H无明显变化,差异无统计学意义(P>0.05);对护理人员的满意度进行评价,实验组总满意度100%,对照组总满意度仅为71.43%,2组比较差异有统计学意义(P<0.05);实验组患者的住院时间较对照组缩短,住院费用降低,2组间比较差异有统计学意义(P<0.05);与对照组比较,实验组患者对疾病认知度的评分较高,组间比较差异有统计学意义(P<0.05)。结论对出现呼吸衰竭的新生儿采取持续气道正压通气治疗,并采取综合护理措施,能够及时的纠正低氧血症及高碳酸血症,缓解呼吸衰竭,患者的护理满意度明显提高。

Objective To analyze effect of comprehensive nursing in continuous positive airway pressure（ CPAP） treatment of respiratory failure in neonates. Methods A total of 58 newborns with respiratory failure were randomly divided into two groups. They were both implemented continuous positive airway pressure（ CPAP） treatment,the treatment group took comprehensive nursing measures,and the related parameters before and after the flesh; but p（ O2）,p（ CO2）,the change of PH,child care satisfaction survey and compare the two groups. Results Compared with before treatment,p（ O2） in 12 h,24 h after CPAP therapy was significantly increased,p（ CO2） was decreased,and PH value increased,th e difference was statistically significant（ P 0. 05）. p（ O2）,p（ CO2）,and PH in control group had no obvious change,the difference was not statistically significant（ P 0. 0 5）. After CPAP therapy,p（ O2） and p（ CO2） in experimental group was reduced,the PH value increased,the difference was statistically significant（ P 0. 0 5）. Compared with the 1 2 nd h and 2 4 th h after treatment,p（ O2）,p（ CO2）,PH in the experimental group has no obvious change,the difference was not statistically significant（ P 0. 0 5）. The total satisfaction for nursing staff in the Xexperimental group was 1 0 0 % and 7 1. 4 3 % in the control group,there was statistically significant difference（ P 0. 0 5）. Hospitalized tim e in experimental group was shortened,hospitalization costs was reduced,differences between the two groups was statistically significant（ P 0. 05）. Compared with control group,disease recognition score in the experimental group was higher,the difference was statistically significant（ P 0. 05）. Conclusion Continuous positive airway pressure treatment for respiratory failure of the newborns and comprehensive nursing measures can timely correct hypoxemia and hypercapnia,ease respiratory failure,and improve patients＇ nursing satisfaction.