标准化护理抢救流程在新生儿窒息抢救过程中的效果研究

Study on the Effect of Standardized Nursing and Rescue Procedure in the Process of Neonatal Asphyxia

目的探讨在新生儿窒息抢救期间标准化护理抢救流程应用可行性。方法选取2018年1月1日—2020年12月31日收治的80例新生儿窒息患儿进行护理研究;随机分为常规护理组(常规护理)和标准化护理组(常规护理+标准化护理抢救流程),各40例;比较两组患儿高碳酸血症比例、低氧血症比例、酸中毒比例、Apgar评分、住院费用以及住院时间。结果护理前,标准化护理组高碳酸血症比例、低氧血症比例、酸中毒比例同常规护理组比较,差异无统计学意义(P>0.05);护理后,标准化护理组高碳酸血症比例、低氧血症比例、酸中毒比例均低于常规护理组,差异有统计学意义(P<0.05);标准化护理组分娩后1 min Apgar评分(2.26±0.67)分同常规护理组分娩后1 min Apgar评分(2.29±0.65)分比较,差异无统计学意义(P>0.05);标准化护理组窒息复苏后5 min Apgar评分(8.59±1.43)分高于常规护理组窒息复苏后5 min Apgar评分(6.86±1.16)分,差异有统计学意义(P<0.05);标准化护理组住院费用(2.36±0.29)万元以及住院时间(11.19±1.49)d分别低于常规护理组(3.65±0.59)万元以及住院时间(13.79±2.52)d,差异有统计学意义(P<0.05)。结论标准化护理抢救流程有效应用后,观察高碳酸血症比例、低氧血症比例、酸中毒比例、Apgar评分、住院费用以及住院时间,获得明显改善,可促进新生儿窒息患儿预后水平显著提升。

Objective To explore the feasibility of the application of standardized nursing and rescue procedures during the rescue of neonatal asphyxia.Methods From January 1,2018 to December 31,2020,a total of 80 cases of neonatal asphyxia children were selected for nursing research.They were randomly divided into routine nursing group(routine nursing)and standardized nursing group(routine nursing+standardized nursing rescue process),with 40 cases in each group.The proportion of hypercapnea,hypoxemia,acidosis,Apgar score,hospitalization cost and length of stay in two groups were compared.Results Before nursing,there was no significant difference in the proportion of hypercapnia,hypoxemia and acidosis between the standardized nursing group and the conventional nursing group(P>0.05).After nursing,the proportion of hypercapsia,hypoxemia and acidosis in standardized nursing group were lower than those in conventional nursing group,the difference was statistically significant(P<0.05).The 1 min Apgar score of the standardized nursing group(2.26±0.67)was not significantly different from that of the conventional nursing group(2.29±0.65)(P>0.05).The 5 min Apgar score(8.59±1.43)points in the standardized nursing group was higher than that in the conventional nursing group(6.86±1.16)points,the difference was statistically significant(P<0.05).The hospitalization cost and hospitalization time of the standardized nursing group were(2.36±0.29)million yuan and(11.19±1.49)d,respectively,less than those of the conventional nursing group(3.65±0.59)million yuan and(13.79±2.52)d,the difference was statistically significant(P<0.05).Conclusion After the effective application of standardized nursing rescue process,the proportion of hypercapnia,hypoxemia,acidosis,Apgar score,hospitalization cost and length of stay can be significantly improved,which can significantly improve the prognosis of neonatal asphyxia children.