新生儿低氧性呼吸衰竭联合治疗的护理技巧与分析

Nursing skills and analysis of combined treatment of neonatal hypoxic respiratory failure

目的探讨一氧化氮(NO)联合肺表面活性物质(PS)治疗新生儿低氧性呼吸衰竭合并肺动脉高压的护理方法。方法回顾15例出生后经确诊为低氧性呼吸衰竭合并肺动脉高压的患儿并用联合的方案治疗病例,分析用药后1 h和用药后24 h的各项指标变化。结果 3例患儿因病情危重死亡,12例患儿治疗后缺氧症状改善,各改善指标与治疗前相比差异有统计学意义(P<0.05)。所有患儿未出现NO和PS治疗相关不良反应。结论在联合方案治疗的基础上结合相应的护理措施,能明显改善患儿氧合,纠正低氧血症,促进患儿疾病的康复。

Objective To investigate the nursing method of nitric oxide( NO) combined with pulmonary surfactant( PS) in the treatment of neonatal hypoxic respiratory failure complicated with pulmonary hypertension. Methods Fifteen cases of newborn diagnosed with hypoxic respiratory failure complicated with pulmonary hypertension after birth were treated with combined regimen. The changes of 1 h and 24 h after the treatment were analyzed. Results Three cases of newborn died ofsevere illness; after treatment,12 cases( 80%)of newborn with hypoxic symptomswere improved and other indexes of all newbornhad improved with statistical differences( P < 0. 05);all newborn had noadverse reactions related to NO and PS treatment. Conclusions The combination of treatment and the corresponding nursing measures can significantly improve the oxygenation,correct hypoxemia,and promote the rehabilitation of neonatal patients.