整体护理在经鼻间歇正压通气治疗新生儿呼吸窘迫综合征患儿中的应用效果

Application effect of holistic nursing in the treatment of neonatal respiratory distress syndrome by nasal intermittent positive pressure ventilation

目的探讨整体护理在经鼻间歇正压通气(NIPPV)治疗新生儿呼吸窘迫综合征(NRDS)患儿中的应用效果。方法选取2020年10月至2022年10月在南京医科大学附属妇产医院新生儿科接受NIPPV治疗的94例NRDS患儿,按照随机数字表法分为观察组、对照组,每组各47例。对照组实施常规护理,观察组实施整体护理,比较两组护理效果。结果干预后观察组氧分压、血氧饱和度、酸碱度高于对照组,二氧化碳分压低于对照组(P<0.05);观察组机械通气时间、给氧时间、体温恢复时间、住院时间短于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05)。结论整体护理在NIPPV治疗NRDS患儿中的应用效果较好,可以改善动脉血气情况,缩短恢复时间,降低并发症发生率,值得推广。

Objective To investigate the application effect of holistic nursing in the treatment of neonatal respiratory distress syndrome(NRDS)by nasal intermittent positive nasal pressure ventilation(NIPPV).Methods A total of 94 infants with NRDS who received NIPPV in the Department of Neonatology,Women’s Hospital of Nanjing Medical University from October 2020 to October 2022 were selected and divided into observation group and control group according to the random number table method,with 47 cases in each group.The control group was given routine nursing,and the observation group was given holistic nursing.The nursing effect of the two groups was compared.Results After intervention,the partial pressure of oxygen,saturation of blood oxygen and pH in the observation group were higher than those in the control group,and the partial pressure of carbon dioxide was lower than that in the control group(P<0.05).The mechanical ventilation time,oxygen supply time,body temperature recovery time and hospital stay in the observation group were shorter than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Holistic nursing in the treatment of NRDS children with NIPPV has a good application effect,which can improve arterial blood gas status,shorten the recovery time,and reduce the incidence of complications,which is worthy of promotion.