中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
10期
49-52
,共4页
鼻塞正压通气%新生儿%呼吸窘迫综合征%疗效%护理
鼻塞正壓通氣%新生兒%呼吸窘迫綜閤徵%療效%護理
비새정압통기%신생인%호흡군박종합정%료효%호리
Nasal positive airway pressure%Neonate%Respiratory distress syndrome%Efficacy%Care
目的：观察鼻塞持续正压通气治疗新生儿呼吸窘迫综合征（NRDS）的效果及总结护理要点。方法将66例NRDS新生儿随机分为对照组与观察组。对照组予头罩吸氧和常规治疗；观察组在常规治疗基础上，给予鼻塞持续正压通气治疗，观察二组肺氧合功能的改变。对两组患儿住院天数、用氧天数和吸入氧体积分数（FiO2）进行比较。结果观察组经鼻塞持续正压通气治疗后Pa（O2）和动脉血氧分压/肺泡氧分压比值[a/Ap（O2）]较对照组明显增高，而氧合指数（Oi）较对照组明显降低，差异有统计学意义（P＜0.05）。观察组住院天数、用氧天数和吸入氧体积分数（FiO2）均明显短于对照组，两组比较差异有统计学意义（P＜0.05）。结论鼻塞持续正压通气能明显改善NRDS新生儿的氧合功能，能迅速纠正患儿低氧血症，快速改善患儿症状，缩短用氧时间和住院天数，减少并发症的发生，提高患儿的存活率。护理人员应严格执行规范操作，做好患儿的日常护理，提高治疗效率。
目的：觀察鼻塞持續正壓通氣治療新生兒呼吸窘迫綜閤徵（NRDS）的效果及總結護理要點。方法將66例NRDS新生兒隨機分為對照組與觀察組。對照組予頭罩吸氧和常規治療；觀察組在常規治療基礎上，給予鼻塞持續正壓通氣治療，觀察二組肺氧閤功能的改變。對兩組患兒住院天數、用氧天數和吸入氧體積分數（FiO2）進行比較。結果觀察組經鼻塞持續正壓通氣治療後Pa（O2）和動脈血氧分壓/肺泡氧分壓比值[a/Ap（O2）]較對照組明顯增高，而氧閤指數（Oi）較對照組明顯降低，差異有統計學意義（P＜0.05）。觀察組住院天數、用氧天數和吸入氧體積分數（FiO2）均明顯短于對照組，兩組比較差異有統計學意義（P＜0.05）。結論鼻塞持續正壓通氣能明顯改善NRDS新生兒的氧閤功能，能迅速糾正患兒低氧血癥，快速改善患兒癥狀，縮短用氧時間和住院天數，減少併髮癥的髮生，提高患兒的存活率。護理人員應嚴格執行規範操作，做好患兒的日常護理，提高治療效率。
목적：관찰비새지속정압통기치료신생인호흡군박종합정（NRDS）적효과급총결호리요점。방법장66례NRDS신생인수궤분위대조조여관찰조。대조조여두조흡양화상규치료；관찰조재상규치료기출상，급여비새지속정압통기치료，관찰이조폐양합공능적개변。대량조환인주원천수、용양천수화흡입양체적분수（FiO2）진행비교。결과관찰조경비새지속정압통기치료후Pa（O2）화동맥혈양분압/폐포양분압비치[a/Ap（O2）]교대조조명현증고，이양합지수（Oi）교대조조명현강저，차이유통계학의의（P＜0.05）。관찰조주원천수、용양천수화흡입양체적분수（FiO2）균명현단우대조조，량조비교차이유통계학의의（P＜0.05）。결론비새지속정압통기능명현개선NRDS신생인적양합공능，능신속규정환인저양혈증，쾌속개선환인증상，축단용양시간화주원천수，감소병발증적발생，제고환인적존활솔。호리인원응엄격집행규범조작，주호환인적일상호리，제고치료효솔。
To observe the effect of nasal continuous positive airway pressure for treatment of neonatal respiratory distress syndrome(NRDS) and summarize key points of nursing care.Methods 66 neonates with NRDS were randomly assigned to the control group and the observation group. The control group was given hood oxygen and routine therapy and the observation group was given nasal continuous positive airway pressure treatment on the basis of routine therapy to observe the changes in pulmonary oxygenation function of the two groups. The hospital stay, duration of oxygen inhalation and fraction of inspiration O2(FiO2) were compared between the two groups.Results After nasal continuous positive airway pressure treatment, the observation group had significantly higher Pa(O2) and arterial blood oxygen partial pressure/alveolar oxygen partial pressure ratio [(a/Ap(O2)], but significantly lower oxygenation index(Oi) than the control group, with statistical significance(P<0.05). The observation group had significantly shorter hospital stay, shorter duration of oxygen inhalation and lower fraction of inspiration O2(FiO2) than the control group, with statistical significance(P<0.05).Conclusion Nasal continuous positive airway pressure can obviously improve the oxygenation function of NRDS neonates, quickly correct hypoxemia, improve symptoms, shorten duration of oxygen inhalation and hospital stay, reduce complications and improve survival rate. Nursing staff should strictly implement standard operation, provide good daily care and improve treatment efficiency.
