不同干预策略对新生儿肺透明膜病患儿并发症发生率及效果的影响

Effect of Different Intervention Strategies on Complication Rate and Effect of Neonatal Hyaline Membrane Disease

目的探析在新生儿肺透明膜病(Neonatal Pulmonary Hyaline Membrane Disease,RDSN)中采用精细化护理干预所产生的价值。方法回顾分析三明市第一医院2020年1月至2022年12月收治的82例RDSN患儿的临床资料,依据护理模式不同将患儿分为两组,对照组42例,观察组40例,对照组采用常规护理,观察组实施精细化护理,比较两组并发症发生率、血气指标以及治疗相关时间。结果观察组气道黏膜损伤、呼吸机相关性肺炎以及气胸等并发症总发生率较对照组更低(P<0.05)。撤机时、出院时,两组动脉血氧分压(Arterial Partial Pressure of Oxygen,PaO_(2))动脉血氧饱和度(Arterial Oxygen Saturation,SaO_(2))、pH值均有所升高,且观察组较同期对照组更高,两组动脉血二氧化碳分压(Arterial Partial Pressure of Carbon Dioxide,PaCO_(2))均有所降低,且观察组较同期对照组更低(P<0.05)。观察组机械通气时间、氧疗时间、胸片恢复时间以及住院时间均较对照组更短(P<0.05)。结论精细化护理干预策略对RDSN患儿并发症发生率降低、血气指标改善以及治疗相关时间缩短等均可产生积极影响,可作为推荐干预模式在RDSN患儿中施行。

Objective To explore the value of using refined nursing intervention in neonatal pulmonary hyaline membrane disease(RDSN).Methods A retrospective analysis was conducted on the clinical data of 82 children with RDSN admitted to the First Hospital of Sanming City from January 2020 to December 2022.According to different nursing modes,the patients were divided into two groups:the control group(n=42)and the observation group(n=40).The control group received routine nursing,while the observation group received refined nursing.The incidence of complications,blood gas indicators,and treatment related time were compared between the two groups.Results The total incidence of complications such as airway mucosal injury,ventilator-associated pneumonia,and pneumothorax in the observation group was lower than those in the control group(P<0.05).At the time of withdrawal and discharge,both groups showed an increase in arterial oxygen partial pressure(PaO_(2)),arterial oxygen saturation(SaO_(2)),and pH value,and the observation group increased more than the control group increase during the same period.Both groups had a decrease in arterial partial pressure of carbon dioxide(PaCO_(2)),and the observation group decreased more than the control group decreased during the same period(P<0.05).The observation group had shorter mechanical ventilation time,oxygen therapy time,chest X-ray recovery time,and hospital stay compared to those of the control group(P<0.05).Conclusion Refined nursing intervention strategies can have a positive impact on reducing the incidence of complications,improving blood gas indicators,and shortening treatment related time in children with RDSN,and can be recommended as intervention models for implementation for RDSN children.