危重症专职护理对呼吸窘迫综合征早产儿血气指标及并发症的影响

Effect of full-time care for critical illness on blood gas parameters and complications in premature infants with respiratory distress syndrome

目的探讨危重症专职护理对呼吸窘迫综合征早产儿血气指标及并发症的影响,以期为临床治疗提供参考。方法本研究选取2018年12月—2021年12月南阳市中心医院收治的96例呼吸窘迫综合征早产儿为研究对象。采用随机数字表法,将患儿分为专职组和常规组,每组48例。常规组患儿予以常规护理。专职组患儿在常规组基础上进行危重症专职护理。比较2组患儿机械通气时间、住院时间。比较2组患儿干预前及出院时动脉氧分压(PaO_(2))、血氧饱和度(SaO_(2))、胸肺顺应性(Ct)、气道阻力(R)水平。比较2组患儿住院期间并发症发生情况。结果专职组患儿机械通气、住院时间短于常规组,差异有统计学意义(P<0.05)。干预前,2组患儿PaO_(2)、SaO_(2)水平比较,差异无统计学意义(P>0.05)。出院时,2组患儿PaO_(2)、SaO_(2)水平均高于干预前,且专职组高于常规组,差异有统计学意义(P<0.05)。干预前,2组患儿Ct、R水平比较,差异无统计学意义(P>0.05)。出院时,2组患儿Ct水平均高于干预前,且专职组高于常规组,差异均有统计学意义(P<0.05)。2组患儿并发症发生率比较,差异无统计学意义(P>0.05)。结论呼吸窘迫综合征早产儿应用危重症专职护理可缩短机械通气、住院时间,改善血气指标,提高呼吸功能,且安全性良好,值得推广应用。

Objective To investigate the effect of full-time care for critical illness on blood gas parameters and complications in premature infants with respiratory distress syndrome,so as to provide a reference for clinical treatment.Methods Ninety-six premature infants with respiratory distress syndrome admitted to the Nanyang Central Hospital from December 2018 to December 2021 were selected as the study participants.The children were assigned to the full-time group and routine group by random number table,with 48 cases in each group.Children in the routine group were given routine care.Children in the full-time group were given full-time care for critical illness based on the routine group.The duration of mechanical ventilation and hospital stay were compared between the 2 groups.The arterial partial pressure of oxygen(PaO_(2)),arterial oxygen saturation(SaO_(2)),thoracopulmonary compliance(Ct),and airway resistance(R)were compared between the two groups before intervention and at discharge.Complications during hospitalization were compared between the two groups.Results The duration of mechanical ventilation and hospital stay in the full-time group were significantly shorter than those in the conventional group(P<0.05).Before the intervention,there was no significant difference in PaO_(2)and SaO_(2)levels between the two groups(P>0.05).At discharge,PaO_(2)and SaO_(2)levels were significantly higher in the 2 groups than before the intervention,with the full-time group significantly higher than the conventional group(P<0.05).Before the intervention,there was no significant difference in Ct and R levels between the 2 groups(P>0.05).At discharge,Ct levels were significantly higher in the 2 groups than before the intervention with the full-time group significantly higher than the conventional group(P<0.05).There was no significant difference in the incidence rate of complications between the two groups(P>0.05).Conclusion The application of full-time care for critical illness in premature infants with respiratory distress syndrome can shorten the duration of mechanical ventilation and hospital stay,improve blood gas parameters,strengthen respiratory function,and has a good safety profile.These advantages hold promise for a wider application of this procedure.