鼻塞式CPAP治疗新生儿呼吸障碍的护理分析与效果

Nursing Analysis and Effect of Nasal Congestion CPAP in the Treatment of Neonatal Respiratory Disorders

目的探究存在呼吸障碍的新生儿采用鼻塞式CPAP方法治疗的护理效果。方法便利选取40例在该院进行治疗的存在呼吸障碍的新生儿进行研究,选取时间为2015年2月—2018年2月,随机分为实验组和对照组,实验组采用简易鼻塞式CPAP治疗方法,对照组用传统通气治疗方法。对比新生儿肺部感染、慢性肺疾病、氧分压、术后并发症发生率等情况。结果对比两组新生儿患者的氧分压情况,实验组治疗前氧分压为(50.97±4.69)mmHg,对照组为(53.43±3.51)mmHg,组间比较差异无统计学意义(t=0.970,P>0.05);实验组治疗后为(95.63±5.17)mmHg,对照组为(56.92±3.24)mmHg,差异有统计学意义(t=44.862,P<0.05)。实验组并发症发生率为5.00%,低于对照组40.00%,差异有统计学意义(χ^2=7.025,P<0.05)。结论呼吸障碍新生儿以鼻塞式CPAP方法治疗改善氧分压以及降低肺部感染率、慢性肺疾病方面效果显著。

Objective To investigate the nursing effect of nasal congestion CPAP in neonates with respiratory disorders.Methods Convenient select a total of 40 neonates with respiratory disorders who were treated in the hospital were enrolled.The patients were randomly selected from the experimental group and the control group from February 2015 to February 2018.The experimental group was treated with simple nasal CPAP methods,the control group was treated with conventional ventilation.Compare neonatal lung infection,chronic lung disease,oxygen partial pressure,postoperative complication rate,etc.Results Compared with the oxygen partial pressure of the two groups of neonates,the oxygen partial pressure before the treatment was(50.97±4.69)mmHg in the experimental group and(53.43±3.51)mmHg in the control group.There was no statistically significant difference between the groups(t=0.970,P>0.05);the experimental group was(95.63±5.17)mmHg after treatment,and the control group was(56.92±3.24)mmHg,the difference was statistically significant(t=44.862,P<0.05).The complication rate in the experimental group was 5.00%,which was lower than that in the control group(40.00%).The difference was statistically significant(χ^2=7.025,P<0.05).Conclusion Neonates with respiratory disorders have a significant effect on the improvement of oxygen partial pressure and the reduction of lung infection rate and chronic lung disease by nasal congestion CPAP.