经鼻间歇正压通气治疗早产儿呼吸窘迫综合征中实施集束化护理的干预策略

Intervention Strategies of Bundled Nursing for Respiratory Distress Syndrome of Premature Infants with Nasal Intermittent Positive Pressure Ventilation

目的观察经鼻间歇正压通气治疗早产儿呼吸窘迫综合征中实施集束化护理的干预策略分析。方法选取本院(2021年1月1日—2023年6月30日)收治的早产儿呼吸窘迫综合征患儿80例,均在接受经鼻间歇正压通气治疗下,以随机数字表法分组,每组40例,其中以常规护理为对照组,以集束化护理措施为研究组。将两组患儿的血气分析结果相关指标在护理前后对比,对患儿的经鼻间歇正压通气、重症监护及住院时间进行统计,对患儿在治疗过程中出现的并发症进行统计。结果护理后的动脉血二氧化碳分压较护理前下降,研究组低于对照组,而动脉血氧饱和度、动脉血氧分压及PH值均较护理前提升,研究组高于对照组(P<0.05)。研究组患儿接受经鼻间歇正压通气时间、重症监护时间及住院时间均显著的短于对照组(P<0.05)。研究组患儿的并发症发生率低于对照组。结论通过鼻间歇正压通气治疗,在早产儿呼吸窘迫综合征下实施集束化护理,可明显改善患儿血气分析相关指标,缩短经鼻间歇正压通气治疗、重症监护和住院时间,效果较为理想,值得在临床上推广。

Objective To observe and analyze intervention strategy of bundled nursing for respiratory distress syndrome of premature infants with nasal intermittent positive pressure ventilation.Methods The paper chose 80 premature infants with respiratory distress syndrome admitted to our hospital from January 1,2021 to June 30,2023,treated with nasal intermittent positive pressure ventilation treatment,and divided them into groups with random number table method,with 40 cases in each group.Control group was treated with routine nursing,and study group with bundled nursing measures.Blood gas analysis results were compared between two groups with relevant indicators before and after nursing,and nasal intermittent positive pressure ventilation,intensive care,length of stay,and complications during treatment process was analyzed statistically.Results After nursing,arterial carbon dioxide partial pressure was lower than before nursing,that of study group was lower than control group.However,arterial oxygen saturation,arterial oxygen partial pressure,and pH value was higher than before nursing,that of study group was higher than control group(P<0.05).Duration of receiving nasal intermittent positive pressure ventilation,intensive care,and hospital stay in study group was significantly shorter than control group(P<0.05).Incidence of complications in study group was lower than control group.Conclusion Bundled nursing can improve respiratory distress syndrome,blood gas analysis related indicators of premature infants with nasal intermittent positive pressure ventilation treatment significantly,and shorten time for nasal intermittent positive pressure ventilation treatment,intensive care,and hospitalization with ideal effect,which is worthy of promotion in clinical practice.