新生儿外周动静脉全自动连续换血中的护理对策

Neonatal Peripheral Arteriovenous Automatic Continuous Changes in the Nursing Countermeasures

目的研究新生儿外周动静脉全自动连续换血中的护理对策。方法选取我院2011年1月至2014年1月行外周动静脉全自动连续换血治疗重度高胆红素血症20例新生儿作为研究对象,并随机分为对照组和观察组各10例,分别给予常规护理与循证护理。比较两组血清总胆红素水平、血液酸碱度、血糖及换血情况。结果两组换血时间、重新置管率的差异比较具有统计学意义(P<0.05);换血前后TB、血p H及血糖的组间比较差异无统计学意义(P>0.05),组内比较差异有统计学意义(P<0.05)。结论新生儿换血过程中给予全程喂养,不禁食,加强手术护理措施,可缩短换血时间,预防动脉通路堵塞及导管滑脱,有利于手术成功实施,值得临床借鉴及应用。

Objective To study the neonatal peripheral arteriovenous automatic continuous changes in the nursing countermeasures.Methods From June 2011 to June 2014,the annual week arteriovenous automatic continuous change of 20 newborns for the treatment of severe high bilirubin levels,as the research object,and each 10 cases were randomly divided into control group and observation group,were given routine nursing and the evidence- based nursing. Compare two groups of serum total bilirubin level,the acidity in the blood,blood sugar and the change of situation. Results The rate of change of time,the two groups to buy tube difference is statistically significant（ P〈0. 05）; before and after the change of TB is compared between p H and blood sugar,blood group has no statistical significance（ P〉0. 05）,group compared statistically significant difference（ P〈0. 05）. Conclusion The changes in the process of giving full feeding,not fast,and strengthen the surgery nursing measures,the time of change,the prevention of artery pathway jam and catheter slippage,conducive to the successful surgery,worthy of clinical application and reference.