改良式护理对左向右分流先天性心脏病患儿呼吸管理的影响

The Effect of Improved Nursing on Respiratory Management in Children With Left to Right Shunt and Congenital Heart Disease

目的探讨改良式护理干预用于左向右分流先天性心脏病(先心病)患儿围术期呼吸管理中的效果。方法选取我院2014年6月—2017年5月收治的心病患儿80例作为研究对象,将其随机分为研究组和对照组,每组各40例。所有患儿择期行先心病矫治术,对照组行常规护理,研究组在对照组的基础上,行改良式护理干预。统计两组患儿术前术后的血气指标变化,以及并发症发生情况。结果 (1)研究组患儿治疗前后PaO_2、PaCO_2、SpO_2、SaO_2等血气指标无明显变化,对照组患儿除Pa CO_2外,PaO_2、Sp O_2、Sa O_2等指标较术前均显著降低,差异具有统计学意义(P<0.05)。术后组间比较,研究组患儿各项血气指标均显著高于对照组,差异具有统计学意义(P<0.05)。(2)研究组并发症发生率为10.0%,对照组并发症发生率为22.5%,研究组高于研究组,差异具有统计学意义(P<0.05)。结论改良式护理干预用于左向右分流先心病患儿围术期呼吸管理效果显著,有利于稳定血气指标,改善肺损伤。

Objective To explore the effect of improved nursing intervention in the perioperative respiratory management of children with left to right shunt congenital heart disease. Methods 80 cases children with congenital heart disease（CHD） in our hospital from June 2014 to May 2017 were selected and randomly divided into the study group and the control group, 40 cases in each group. All the children were treated with orthodontic treatment of congenital heart disease, and the control groupwas treated with routine nursing. The study group was treated with improved nursing intervention on the basis of the control group. The changes of blood gas index and complications in the two groups of children before and after operation were statistically analyzed. Results（1） after treatment, blood gas index of PaO2, PaC O2, SpO2 and SaO2 had no significant change in the study group. In addition to PaC O2, the indexes of PaO2, SpO2 and SaO2 in control group were significantly lower than those before operation, the difference was statistically significant（P〈0.05）. The blood gas index of the children in the study group after operation was significantly higher than that of the control group, the difference was statistically significant（P〈0.05）.（2） the incidence of complications in the study group was 10.0%, and the incidence of complications in the control group was 22.5%, which was significantly higher than that in the study group, the difference was statistically significant（P〈0.05）. Conclusion Improved nursing intervention is effective in perioperative respiratory management for children with left to right shunt congenital heart disease, which is beneficial to stabilize blood gas index and improve lung injury.