预防性护理干预在新生儿呼吸窘迫综合征中的应用效果

Application effect of preventive nursing intervention with neonatal respiratory distress syndrome

目的探讨预防性护理干预在新生儿呼吸窘迫综合征(NRDS)中的应用效果。方法选择2017年7月至2020年6月安徽医科大学附属宿州医院收治的NRDS患儿113例,按照随机数字表法分为观察组57例、对照组56例。对照组给予NRDS患儿常规治疗及护理干预,观察组联合应用预防性护理干预。比较两组患儿无创呼吸机使用时间、住院时间及住院费用、治疗前及治疗1周后氧合功能、住院期间并发症。结果观察组无创呼吸机使用时间、住院时间、住院费用低于对照组,差异有统计学意义(P<0.05)。治疗1周后,两组pH值、动脉血氧分压(SpO2)高于同组治疗前,动脉二氧化碳分压(PaCO2)低于同组治疗前,差异有统计学意义(P<0.05),观察组pH值、SpO2高于对照组,PaCO2低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。两组死亡率比较,差异无统计学意义(P>0.05)。结论预防性护理干预有助于缩短无创呼吸机使用时间及住院时间,改善肺氧合功能,减少并发症的发生。

Objective To explore the application effect of preventive nursing intervention with neonatal respiratory distress syndrome(NRDS).Methods A total of 113 children with NRDS admitted to Suzhou Hospital Affiliated to Anhui Medical University from July 2017 to June 2020 were selected,and they were divided into an observation group of 57 cases and a control group of 56 cases according to the random number table method.The control group was given routine treatment and nursing intervention for children with NRDS,and the observation group was combined with preventive nursing intervention.The use time of non-invasive ventilator,hospitalization time and hospitalization expenses,oxygenation function before and a week after treatment,and complications during hospitalization were compared between the two groups.Results The non-invasive ventilator use time,hospitalization time,and hospitalization expenses in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After a week of treatment,the pH and pulse oxyqen saturatron(SpO2)of the two groups were higher than those of the same group before treatment,while partial pressure of carbon dioxide(PaCO2)was lower than that of the same group before treatment,and the differences were statistically significant(P<0.05).The pH and SpO2 in the observation group were higher than those of the control group,while PaCO2 was lower than that of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the mortality between the two groups(P>0.05).Conclusion Preventive nursing intervention can help shorten the use time of non-invasive ventilator and hospital stay,improve lung oxygenation function,and reduce the occurrence of complications.