改良式拍背吸痰护理模式对呼吸机治疗重症肺炎新生儿气道阻塞状况及康复效果的影响

Effect of Modified Backbeat Sputum Aspiration Nursing Mode on Airway Obstruction of Neonates with Severe Pneumonia Treated by Ventilator and its Recovery Effect

目的探讨重症肺炎新生儿呼吸机治疗过程中行改良式拍背吸痰护理干预的具体措施及效果。方法选取2021年1月至2021年12月在本院接受呼吸机治疗的90例重症肺炎新生儿作为对象,通过双盲法分为两组。常规组(45例)患儿呼吸机治疗期间行常规式拍背后吸痰,干预组(45例)患儿则行改良式拍背吸痰。观察患儿吸痰效果、病情改善、血气指标改善情况及康复效果、不良反应发生情况。结果干预后干预组患儿平均痰量、吸痰次数与常规组相比均更少,体温恢复正常、肺部啰音消失、咳嗽咯痰基本消失平均时间均短于常规组患儿,脱机、总住院平均时间也均短于常规组患儿,差异有统计学意义(P<0.05);治疗3 d后干预组患儿PaCO_(2)水平相比常规组更低,PaO2水平则更高,差异有统计学意义(P<0.05);干预组患儿治疗总有效率相比常规组明显更高(95.56%vs.82.22%),呼吸机治疗不良反应总发生率相比常规组明显更低(4.44%vs.22.22%),差异有统计学意义(P<0.05)。结论重症肺炎新生儿救治期间接受呼吸机治疗时配合改良式拍背吸痰护理,可有效提高气道管理效果,气道阻塞状况、总体康复效果均更理想。

Objective To investigate the specific measures and effects of nursing intervention of modified backbeat patting sputum aspiration during ventilator treatment of neonates with severe pneumonia.Methods A total of 90 children with severe pneumonia who received ventilator treatment in our hospital from January 2021 to December 2021 were selected as subjects and divided into two groups by double-blind method.The conventional group(45 cases)received conventional backbeat sputum aspiration during ventilator treatment,while the intervention group(45 cases)received modified backbeat sputum aspiration.The effect of sputum aspiration,improvement of condition,improvement of blood gas index,rehabilitation effect and occurrence of adverse reactions were observed.Results After intervention,the average sputum volume and the number of sputum aspiration in the intervention group were all less than those in the conventional group.The average time of body temperature returning to normal,lung rales disappearing,cough and sputum basically disappearing were all shorter than those in the conventional group,and the average time of offline and total hospitalization was also shorter than those in the conventional group(P<0.05).After 3 days of treatment,the level of PaCO2 in the intervention group was lower and the level of PaO2 was higher than that in the conventional group(P<0.05).The total effective rate in observation group was significantly higher than that in conventional group(95.56%vs.82.22%),and the total incidence of adverse reactions after ventilator treatment was significantly lower than that in conventional group(4.44%vs.22.22%)(P<0.05).Conclusion When children with severe pneumonia receive ventilator treatment during treatment,combined with modified backbeat sputum aspiration nursing,the effect of airway management is effectively improved,and the condition of airway obstruction and the overall recovery effect are more ideal.