高频振荡通气专科特色护理对新生儿呼吸窘迫综合征的干预效果

Intervention effect of high frequency oscillating ventilation specialized nursing on neonatal respiratory distress syndrome

目的研究高频振荡通气专科特色护理对新生儿呼吸窘迫综合征(NRDS)的干预效果。方法根据随机数字表法将本院2014年1月至2018年12月接收的120例NRDS早产儿分为对照组和观察组,各60例。对照组采用常频通气模式治疗和常规护理,观察组予以高频振荡通气治疗和专科特色护理。比较两组的血气分析指标、脑损伤情况、并发症发生情况及治疗相关情况。结果干预后,两组患儿的Pa O2、OI均升高,Pa CO2、Fi O2均降低,且观察组优于对照组(P<0.05)。对照组患儿脑损伤总发生率为35.00%,观察组患儿脑损伤总发生率为31.67%,组间比较,差异无统计学意义(P>0.05)。观察组患儿的并发症总发生率显著低于对照组(P<0.05)。观察组患儿机械通气时间、吸氧时间、生命体征稳定时间及住院时间均短于对照组(P<0.05)。结论高频振荡通气应用于NRDS早产儿中,不会增加患儿脑损伤发生率,辅以专科特色护理干预可起到改善血气分析指标、降低并发症发生率、缩短机械通气时间、促进患儿早日康复的作用。

Objective To study the intervention effect of high frequency oscillating ventilation specialized nursing on neonatal respiratory distress syndrome(NRDS).Methods One hundred and twenty premature infants with NRDS received by our hospital from January 2014 to December 2018 were divided into control group and observation group according to the random number table method,with 60 cases in each group.The control group was treated with normal frequency ventilation mode and routine nursing,while the observation group was treated with high frequency oscillation ventilation and specialized nursing.The blood gas analysis indexes,condition of brain injury,complications and treatment were compared between the two groups.Results After intervention,the PaO2 and OI in the two groups increased,the PaCO2 and FiO2 decreased,and those in the observation group were better than the control group(P<0.05).The total incidence of brain injury was 35.00% in the control group and 31.67% in the observation group,and there was no significant difference between the two groups(P>0.05).The total incidence of complications in the observation group was significantly lower than that in the control group(P <0.05).The mechanical ventilation time,oxygen inhalation time,vital signs stability time and hospitalization time in the observation group were shorter than those in the control group(P<0.05).Conclusion The high frequency oscillatory ventilation application in premature infants with NRDS will not increase the incidence of brain injury,and supplemented by specialized nursing intervention can improve blood gas analysis indexes,reduce the incidence of complications,shorten the time of mechanical ventilation,and promote the early recovery of children.