经鼻导管高流量加温湿化正压通气在新生儿呼吸窘迫综合征护理中的应用

Application of humidified high flow nasal cannula in nursing of neonatal respiratory distress syndrome

目的探究新生儿呼吸窘迫综合征(NRDS)在使用经鼻导管高流量加温湿化正压通气(HHFNC)护理后的护理效果。方法研究对象为我院2016年1月～2018年1月收治的60例NRDS患儿,将其采用随机数字表法分成护理1组与护理2组,30例护理1组采用HHFNC护理,另30例护理2组采用常规经鼻持续气道正压通气(NCPAP)护理。探讨实施不同护理对血气指标、并发症发生率的影响。结果治疗后护理1组在血氧分压(PaO_2)、氧合指数、血氧饱和度(SaO_2)、动脉与肺泡氧分压比值(a/APO_2)上与护理2组相比显著较高(P <0.05),而在动脉二氧化碳分压(PaCO_2)上显著比护理2组低(P <0.05);在并发症发生率上两组相比,护理1组(3.33%)显著比护理2组(20.00%)低(P <0.05)。结论将HHFNC应用于NRDS患儿后,能有效提升患儿氧合状态,改善PaO_2、PaCO_2、氧合指数、SaO_2及动脉与a/APO_2指标,不仅如此,还能减少并发症发生率,此方法值得应用与推广。

Objective To explore the nursing effeet of humidified high flow nasal eannula （HHFNC） in neonatal respiratory distress syndrome （NRDS）. Methods Sixty NRDS newborns who were treated in our hospital from January 2016 to January 2018 were selected as research objects and they were randomly divided into the nursing group 1 and nursing group 2 by random number table method,with 30 in each.Nursing group 1 was given HHFNC while nursing group 2 was given conventional nasal continuous positive airway pressure （NCPAP）.Effeets of different nursing methods on blood gas index and incidence rate of complications were explored. Results After intervention,partial pressure of blood oxygen （PaO2）,oxygenation index,oxygen saturation （SaO2）,arterial-alveolar partial pressure of oxygen ratio in the nursing group 1 were significantly higher than those in the nursing group 2 （P 〈 0,05） while partial pressure of carbon dioxide in artetry （PaCO2） was signifieantly lower than that in the nursing group 2 （P 〈 0.05）.The ineidenee rate of eomplieations in the nursing group 1 was 3.33%,significantly lower than thai of the nursing group 2 20.00% （P 〈 0.05）. Conclusion Application of HHFNC in newborns can effectively improve oxygenation states,improve PaO2,PaCO2,oxygenation index,SaO2 and a/APO2 index,reduce the incidence rate of complications.It is worthy of clinical application and promotion.