中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
14期
1736-1738
,共3页
婴儿,新生%胎粪吸入综合征%同步间歇指令通气%压力支持
嬰兒,新生%胎糞吸入綜閤徵%同步間歇指令通氣%壓力支持
영인,신생%태분흡입종합정%동보간헐지령통기%압력지지
Infant,newly born%Meconium aspiration syndrome%Synchronized intermittent mandatory ventilation%Pressure support
目的：探讨同步间歇指令通气（ SIMV ）联合压力支持（ PS ）对新生儿胎粪吸入综合征（ NMAS）患儿的治疗效果及护理体会。方法将40例NMAS患儿按通气模式不同分为对照组和观察组各20例。对照组患儿接受SIMV，观察组患儿接受SIMV＋PS；观察两组患儿吸氧时间、机械通气时间及住院时间；观察治疗后平均动脉压（MABP）、平均气道压（MAP）及氧合指数（OI）的变化。结果观察组吸氧时间、机械通气时间、住院时间分别为（4．9±1．1）d，（65．7±7．0）h，（7．9±1．4）d，均低于对照组的（5．6±0．7）d，（75．1±9．2）h，（10．1±2．0）d，差异有统计学意义（t 值分别为2．401，3．636，4．030；P＜0．05）；两组治疗前后 MABP 均较平稳；观察组治疗后36 h MAP、OI 分别为（7．4±0．9） cmH2O，（4．7±1．8），均低于对照组的（8．1±1．1）cmH2O，（10．1±3．4），差异有统计学意义（t值分别为2．203，6．698；P＜0．05）。结论应用SIMV＋PS，能改善患儿氧合，降低平均动脉压和气道压，利于早日脱机及减少通气总时间。严密观察患儿病情，做好气道护理可提高治疗效果。
目的：探討同步間歇指令通氣（ SIMV ）聯閤壓力支持（ PS ）對新生兒胎糞吸入綜閤徵（ NMAS）患兒的治療效果及護理體會。方法將40例NMAS患兒按通氣模式不同分為對照組和觀察組各20例。對照組患兒接受SIMV，觀察組患兒接受SIMV＋PS；觀察兩組患兒吸氧時間、機械通氣時間及住院時間；觀察治療後平均動脈壓（MABP）、平均氣道壓（MAP）及氧閤指數（OI）的變化。結果觀察組吸氧時間、機械通氣時間、住院時間分彆為（4．9±1．1）d，（65．7±7．0）h，（7．9±1．4）d，均低于對照組的（5．6±0．7）d，（75．1±9．2）h，（10．1±2．0）d，差異有統計學意義（t 值分彆為2．401，3．636，4．030；P＜0．05）；兩組治療前後 MABP 均較平穩；觀察組治療後36 h MAP、OI 分彆為（7．4±0．9） cmH2O，（4．7±1．8），均低于對照組的（8．1±1．1）cmH2O，（10．1±3．4），差異有統計學意義（t值分彆為2．203，6．698；P＜0．05）。結論應用SIMV＋PS，能改善患兒氧閤，降低平均動脈壓和氣道壓，利于早日脫機及減少通氣總時間。嚴密觀察患兒病情，做好氣道護理可提高治療效果。
목적：탐토동보간헐지령통기（ SIMV ）연합압력지지（ PS ）대신생인태분흡입종합정（ NMAS）환인적치료효과급호리체회。방법장40례NMAS환인안통기모식불동분위대조조화관찰조각20례。대조조환인접수SIMV，관찰조환인접수SIMV＋PS；관찰량조환인흡양시간、궤계통기시간급주원시간；관찰치료후평균동맥압（MABP）、평균기도압（MAP）급양합지수（OI）적변화。결과관찰조흡양시간、궤계통기시간、주원시간분별위（4．9±1．1）d，（65．7±7．0）h，（7．9±1．4）d，균저우대조조적（5．6±0．7）d，（75．1±9．2）h，（10．1±2．0）d，차이유통계학의의（t 치분별위2．401，3．636，4．030；P＜0．05）；량조치료전후 MABP 균교평은；관찰조치료후36 h MAP、OI 분별위（7．4±0．9） cmH2O，（4．7±1．8），균저우대조조적（8．1±1．1）cmH2O，（10．1±3．4），차이유통계학의의（t치분별위2．203，6．698；P＜0．05）。결론응용SIMV＋PS，능개선환인양합，강저평균동맥압화기도압，리우조일탈궤급감소통기총시간。엄밀관찰환인병정，주호기도호리가제고치료효과。
Objective To discuss the clinical effect of synchronized intermittent mandatory ventilation (SIMV) combined with pressure support (PS) on neonatal meconium aspiration syndrome (NMAS) and its nursing.Methods Forty cases of NMAS children were divided into the control group and the observation group according to the ventilation mode , each with 20 cases.The control group received SIMV while the observation group received SIMV with PS . Oxygen time , duration of mechanical ventilation and length of stay were observed, and changes of mean arterial pressure (MABP), mean airway pressure (MAP) and oxygenation index ( OI) were observed after treatment .Results Time of oxygen , mechanical ventilation and length of stay was significantly shorter than those in the control group [(4.9 ±1.1) d vs (5.6 ±0.7) d, (65.7 ±7.0) h vs (75.1 ±9.2) h, (7.9 ±1.4) d vs (10.1 ±2.0) d], and the differences were statistically significant (t=2.401,3.636,4.030, respectively;P <0.05).Before treatment, MABP in both groups was stable .After 36 hours of treatment, the MAP and OI was (7.4 ±0.9)cmH2O and(4.7 ±1.8)in the observation group, lower than (8.1 ±1.1)cmH2O and(10.1 ±3.4)in the control group, and the differences were statistically significant (t=2.203,6.698, respectively;P<0.05).Conclusions SIMV combined with PS ventilation can improve children's oxygenation and reduce mean arterial pressure and airway pressure ventilation , which is conducive to the early offline and reduce ventilation time .Close attention to patients'status and airway nursing can improve the therapeutic effect .
