专职化护理模式对急性呼吸窘迫综合征患儿血气指标及预后的影响

Effect of professional nursing mode on blood gas index and prognosis of children with acute respiratory distress syndrome

目的探讨专职化护理模式对急性呼吸窘迫综合征患儿应用效果。方法选取2018年1月至2020年1月我收治的86例急性呼吸窘迫综合征患儿,按随机数字表法分为两组,各43例。对照组给予常规护理,观察组采用专职化护理模式。对比两组血气指标、多器官功能障碍评分(Marshll)、肺损伤评分(Murray)及并发症发生情况。结果干预前两组血气指标、Marshll及Murray评分对比,差异无统计学意义(P>0.05);两组出院时PaCO_(2)低于干预前,PaO_(2)、SpO_(2)高于干预前,Marshll、Murray评分低于干预前,差异有统计学意义(P<0.05)。观察组出院时二氧化碳分压(PaCO_(2))为(43.62±4.58)mmHg,低于对照组,血氧分压(PaO_(2))、血氧饱和度(SpO_(2))分别为(90.31±4.60)mmHg、(92.14±2.36)%,高于对照组,差异有统计学意义(P<0.05);观察组出院时Marshll(2.24±0.82)分、Murray(1.19±0.42)分,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4.65%,低于对照组的18.60%,差异有统计学意义(P<0.05)。结论专职化护理模式能够缓解急性呼吸窘迫综合征患儿呼吸困难症状,改善患儿血气指标和肺功能,有利于减少并发症的发生,值得临床推广应用。

Objective To explore the effect of professional nursing mode on children with acute respiratory distress syndrome(ARDS).Methods Eighty-six children with acute respiratory distress syndrome admitted to our hospital from January 2018 to January 2020 were selected and divided into two groups according to the random number table method,with 43 cases in each group.The control group was given routine nursing,while the observation group was given professional nursing mode.Blood gas index,multiple organ dysfunction score(Marshll),lung injury score(Murray),and complications were compared between the two groups.Results There was no statistically significant difference in blood gas index,Marshll and Murray scores between the two groups before intervention(P>0.05).At discharge,PaCO_(2),Marshll and Murray scores of the two groups were lower than those before intervention,PaO_(2) and SpO_(2) were higher than those before intervention,and the differences were statistically significant(P<0.05).At discharge,PaCO_(2) in the observation group was(43.62±4.58)mmHg,lower than that in the control group;PaO_(2) and SpO_(2) were(90.31±4.60)mmHg and(92.14±2.36)%,respectively,higher than that in the control group,with statistically significant differences(P<0.05).The Marshll score(2.24±0.82)and Murray score(1.19±0.42)in the observation group were lower than those in the control group at discharge,and the difference was statistically significant(P<0.05).The complication rate of the observation group was 4.65%,lower than that of the control group(18.60%),with a statistically significant difference(P<0.05).Conclusion The professional nursing mode can relieve the dyspnea symptoms of children with acute respiratory distress syndrome,improve the blood gas index and lung function of children,and reduce the occurrence of complications,which is worthy of clinical application.