便携式呼吸机辅助标准心肺复苏护理对改善小儿危重症体征及预后的影响研究

Study on the Influence of Portable Ventilator Assisted Standard Cardiopulmonary Resuscitation Nursing on Improving the Physical Signs and Prognosis of Children with Critical Illness

目的:观察便携式呼吸机辅助标准心肺复苏护理对危重症患儿体征及预后的影响。方法:选取2019年5月—2022年1月黄河三门峡医院收治的103例危重症患儿作为研究对象,采用抽签法将其分为对照组和观察组。对照组(51例)均接受标准心肺复苏护理,观察组(52例)采用便携式呼吸机辅助标准心肺复苏护理,比较两组患儿的呼吸功能、氧合功能、基础体征、血气指标及预后情况。结果:观察组患儿静态肺潮气容量(VT)、每分钟最大通气量(MVV)、第1秒最大呼气容积(FEV_(1))、用力肺活量(FVC)高于对照组,差异有统计学意义(t=2.671、2.871、2.285、12.300,P<0.05);观察组患儿动脉氧气含量(CaO_(2))、静脉氧气含量(CvO_(2))、氧合指数(P/F)高于对照组,呼吸指数(RI)低于对照组,差异有统计学意义(t=3.107、2.098、3.018、2.801,P<0.05);观察组的心率(HR)、平均动脉压(MAP)、血氧饱和度(SaO_(2))高于对照组,呼吸频率(PR)低于对照组,差异有统计学意义(t=3.265、2.738、2.931、2.989,P<0.05);观察组患儿动脉血氧分压(PO_(2))高于对照组,动脉二氧化碳分压(PCO_(2))、酸碱值(pH)、碳酸氢根(HCO_(3))低于对照组,差异有统计学意义(t=2.440、3.099、2.689、2.269,P<0.05);观察组患儿不良事件发生率低于对照组,差异有统计学意义(χ^(2)=5.137,P<0.05)。结论:采用便携式呼吸机辅助标准心肺复苏可有效改善心脏骤停危重症患儿的呼吸功能及氧合功能,对促进患儿基础体征、血气指标恢复并降低不良事件发生风险均有积极意义。

Objective:To observe the effect of portable ventilator assisted standard cardiopulmonary resuscitation nursing on the physical signs and prognosis of critically ill children.Methods:Taking 103 critically ill children admitted to the hospital from May 2019 to January 2022 as the research objects,they were divided into the control group and the observation group with drawing lots.Among them,51 patients in the control group received standard cardiopulmonary resuscitation nursing,and 52 patients in the observation group received standard cardiopulmonary resuscitation nursing assisted by portable respirators.The respiratory function,oxygenation function,basic signs,blood gas indicators and prognosis of the two groups of children were compared.Results:Static VT,MVV,FEV_(1)and FVC in the observation group were higher than those in the control group(t=2.671,2.871,2.285,12.300;P<0.05).CaO_(2),CvO_(2)and P/F were higher than those in the control group,while RI was lower than those in the control group(t=3.107,2.098,3.018,2.801;P<0.05).HR,MAP and SaO_(2)were higher than those in the control group,while PR was lower than those in the control group.PO_(2)was higher than control group(t=3.265,2.738,2.931,2.989;P<0.05).PCO_(2),pH and HCO_(3)were lower than control group(t=2.440,3.099,2.689,2.269;P<0.05).The incidence of adverse events was lower than the control group,with statistically significant difference(χ^(2)=5.137;P<0.05).Conclusion:The use of portable ventilator assisted standard cardiopulmonary resuscitation can effectively improve the respiratory function and oxygenation function of critically ill children with cardiac arrest,and has positive significance in promoting the recovery of basic signs and blood gas indicators of children and reducing the risk of adverse events.