改进新生儿呼吸窘迫综合征治疗及护理方法对患儿的预后及影响

Improved Nurse and Treatment on the Prognosis and Effect of the Newborns of Respiratory Distress Syndrome

目的:探讨机械通气下不同的治疗和护理方法对患儿治愈率,预后及生存质量的影响。方法:选取2010.3至2016.12在我科住院168例新生儿呼吸窘迫综合征(NRDS)的患儿进行回顾性研究,将患儿按不同条件分为3组,55例单纯机械通气患儿为对照组,53例为机械通气下应用肺泡表面活性剂(PS)的患儿,60例为改进PS治疗方法及护理措施后患儿为观察组,比较各组救治的成功率,并发症发病率,上机天数,住院天数及医疗总费用。结果:NRDS患儿通过机械通气治疗,抢救成功率有较大的提高,通过改进治疗和护理方法,应用PS组患儿及应用PS且改进护理方法后,和单纯机械通气组相比,通过统计学分析,救治的成功率,并发症发病率,上机天数,住院天数均有明显的差异(P<0.05),后两组相比,并发症发病率无明显的差异(P﹥0.05)。结论:通过持续改进,提高了机械通气救治的成功率,减少了患儿的并发症,提高生存质量,取得了较好的经济效益和社会效益。

Objective: To investigate the effect of different treatment and nurse methods on neonates with mechanical ventilation in cure rate,prognosis and quality of life.Methods:168 cases neonatal respiratory distress syndrome from March2010 to December2016 in our NICU were divided into control group(55cases),observation groupⅠ(53cases)and observation groupⅡ(60cases),55cases were given only mechanical ventilation,53cases were given mechanical ventilation with using ps,60cases were given the improving methods of treatment and nurse.The three groups were compared with saving success rate,complication rate,ventilator supporting time,hospital days and total medical cost.Results: By mechanical ventilation,The rescue success rate in the infants with NRDS has been greatly improved,By Improved nurse and treatment,The two observation groups were compared to the control group through statistics analysis,saving success rate,complication rate,ventilator supporting time,hospital days and total medical cost were significantly different(P﹤0.05).There were no significant differences between two observation groups for the complications(﹥0.05).Conclusion: By continuous improvement,The success rate of mechanical ventilation and quality of life were improved,The complications of the children were reduced,We had obtained better economic and social benefits.