对用肺表面活性物质治疗新生儿重症胎粪吸入综合征的患儿的护理

Nursing of severe meconium aspiration syndrome in newborn treated with pulmonary surfactant

目的:总结对用肺表面活性物质治疗新生儿重症胎粪吸入综合征的患儿的护理经验,进一步提高护理质量。方法:收治新生儿重症胎粪吸入综合征患儿20例,所有患儿采用呼吸机及常规治疗,并通过气管内给予肺表面活性物质,同时加强用药前护理及用药护理,观察护理结果。结果:经过治疗和护理,Fi O2、PIP、MAP、F明显降低,PEEP明显升高,与治疗前比较,差异有统计学意义(P<0.05)。结论:加强用药前、用药时的护理对治疗效果有着重要的意义。

Objective:To summary the nursing experience of severe meconium aspiration syndrome in newborn treated with pulmonary surfactant,to further improve the quality of nursing.Methods:20 newborns with severe meconium aspiration syndrome were selected.All patients were treated with mechanical ventilation and conventional treatment,and they were given pulmonary surfactant through the trachea,at the same time,we enhanced nursing before medication and medication nursing,and observed nursing outcomes.Results:After treatment and nursing,the FiO2,PIP,MAP,F were significantly decreased,PEEP was significantly elevated,compared with before treatment,the difference was statistically significant(P<0.05).Conclusion:Enhancing nursing before medication and medication nursing had important significance for the treatment effect.