综合护理干预在婴幼儿气管插管拔管期间的应用

Application of comprehensive nursing intervention in infantile tracheal intubation and extubation

目的：探讨综合护理干预措施在婴幼儿气管插管拔管期间的效果。方法：选取2013年1月-2014年6月实施呼吸机辅助通气的婴幼儿31例作为干预组,给予综合护理干预;将2010年1月-2012年12月34例患儿作为对照组,给予常规气管插管拔管护理。观察两组患儿的心血管指标和动脉血气指标的变化、拔管后并发症及二次插管率。结果：两组患儿拔管前的指标差异无统计学意义（P〉0.05）,拔管后干预组心率、血氧饱和度、动脉血气指标、并发症及二次插管率与对照组比较差异均有统计学意义（P〈0.05）,平均动脉压比较差异无统计学意义（P〉0.05）。结论：婴幼儿气管插管拔管期间给予综合护理干预可有效改善患儿的心血管指标和动脉血气指标的变化、拔管后并发症及二次插管率。

Objective： To explore the effect of comprehensive nursing intervention on infantile tracheal intubation and extubation. Methods： Selected 31 infants with ventilator- assisted ventilation from January 2013 to June 2014 as the intervention group and given them comprehensive nursing intervention. Selected 34 infants from January 2010 to December 2012 as the control group and given them conventional tracheal intubation and extubation nursing. The changes of cardiovascular indexes and arterial blood gas parameters were observed in the two groups. The complication rate and the second intubation rate after extubation were observed in the two groups. Results： There was no significant difference between the indexes of the two groups before extubation（ P〉0.05）. The differences in HR,SpO2,arterial blood gas index,complication and secondary intubation rate in the two groups after the extubation were of statistical significance（ P〈0.05）. There was no statistically significant difference in MAP（ P〈0.05）. Conclusion： Comprehensive nursing intervention can improve the indexes of cardiovascular and arterial blood gases,the complication rate and the rate of second intubation after tracheal extubation in infants.