中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
28期
3401-3403
,共3页
武荣%郑国方%王平%代苗英%李娜%郝小清
武榮%鄭國方%王平%代苗英%李娜%郝小清
무영%정국방%왕평%대묘영%리나%학소청
婴儿,新生%"30-60-90"规则%氧疗%脉搏血氧饱和度%动脉血氧分压
嬰兒,新生%"30-60-90"規則%氧療%脈搏血氧飽和度%動脈血氧分壓
영인,신생%"30-60-90"규칙%양료%맥박혈양포화도%동맥혈양분압
Infant,newborn%“30-60-90” rule%Oxygen therapy%Pulse arterial oxygen saturation%Arterial blood oxygen partial pressure
目的 观察采用“30-60-90”规则滴定调节新生儿吸入氧浓度的相关指标变化.方法 选择需要吸氧的新生儿100例,其中早产儿50例,足月儿50例,用脉搏血氧饱和度监测仪监测脉搏血氧饱和度(SpO2)；采用“30-60-90”规则按照目标SpO2滴定调节吸入氧浓度,稳定半小时后进行血气分析；计算符合要求的调节成功率,用双变量相关分析对SpO2和动脉血氧饱和度(SaO2)、动脉血氧分压(PaO2)进行相关性分析.结果 达到PaO2目标范围的调节成功率早产儿为88％,足月儿为92％,平均为90％.经相关分析,早产儿组SpO2和SaO2,以及SpO2和PaO2之间均存在正相关关系(r值分别为0.765,0.593;P =0.000)；足月儿组SpO2和SaO2,以及SpO2和PaO2之间均存在正相关关系(r值分别为0.778,0.726;P=0.000).早产儿SpO2和SaO2数值均低于足月儿,差异有统计学意义(Z值分别为-3.175,-2.409;P ＜0.05)；两组之间PaO2数值比较差异无统计学意义(P＞0.05).结论 “30-60-90”规则是十分方便和有效的床边指导新生儿氧疗的规则,值得推广实施.
目的 觀察採用“30-60-90”規則滴定調節新生兒吸入氧濃度的相關指標變化.方法 選擇需要吸氧的新生兒100例,其中早產兒50例,足月兒50例,用脈搏血氧飽和度鑑測儀鑑測脈搏血氧飽和度(SpO2)；採用“30-60-90”規則按照目標SpO2滴定調節吸入氧濃度,穩定半小時後進行血氣分析；計算符閤要求的調節成功率,用雙變量相關分析對SpO2和動脈血氧飽和度(SaO2)、動脈血氧分壓(PaO2)進行相關性分析.結果 達到PaO2目標範圍的調節成功率早產兒為88％,足月兒為92％,平均為90％.經相關分析,早產兒組SpO2和SaO2,以及SpO2和PaO2之間均存在正相關關繫(r值分彆為0.765,0.593;P =0.000)；足月兒組SpO2和SaO2,以及SpO2和PaO2之間均存在正相關關繫(r值分彆為0.778,0.726;P=0.000).早產兒SpO2和SaO2數值均低于足月兒,差異有統計學意義(Z值分彆為-3.175,-2.409;P ＜0.05)；兩組之間PaO2數值比較差異無統計學意義(P＞0.05).結論 “30-60-90”規則是十分方便和有效的床邊指導新生兒氧療的規則,值得推廣實施.
목적 관찰채용“30-60-90”규칙적정조절신생인흡입양농도적상관지표변화.방법 선택수요흡양적신생인100례,기중조산인50례,족월인50례,용맥박혈양포화도감측의감측맥박혈양포화도(SpO2)；채용“30-60-90”규칙안조목표SpO2적정조절흡입양농도,은정반소시후진행혈기분석；계산부합요구적조절성공솔,용쌍변량상관분석대SpO2화동맥혈양포화도(SaO2)、동맥혈양분압(PaO2)진행상관성분석.결과 체도PaO2목표범위적조절성공솔조산인위88％,족월인위92％,평균위90％.경상관분석,조산인조SpO2화SaO2,이급SpO2화PaO2지간균존재정상관관계(r치분별위0.765,0.593;P =0.000)；족월인조SpO2화SaO2,이급SpO2화PaO2지간균존재정상관관계(r치분별위0.778,0.726;P=0.000).조산인SpO2화SaO2수치균저우족월인,차이유통계학의의(Z치분별위-3.175,-2.409;P ＜0.05)；량조지간PaO2수치비교차이무통계학의의(P＞0.05).결론 “30-60-90”규칙시십분방편화유효적상변지도신생인양료적규칙,치득추엄실시.
Objective To observe the change of relevant indicators in titrating neonatal fraction of inspired oxygen(FiO2) for the target SpO2 according to the “30-60-90” rule.Methods 100 neonates with anoxia neonatorum were randomly selected and divided into premature group (50 cases) and mature group (50 cases).Pulse oximeter was used to monitor the pulse oximetry saturation (SpO2) and “30-60-90” rule was used to titrate FiO2 for the target SpO2.Blood gas was analyzed half an hour after the SpO2 was stable.The success rate was calculated and double variables were used to analyze the value of arterial oxygen tension (PaO2),SpO2 and arterial oxygen saturation (SaO2) statistically.Results The success rate to reach the target range of PaO2 was 90％,in which the premature group was 92％ and the mature group was 88％.According to the correlation analysis,there was positive correlation between SpO2 and SaO2 in premature group (r =0.765,P =0.000) and mature group (r =0.778,P =0.000),and between SpO2 and PaO2 in premature group (r =0.593,P =0.000) and mature group(r =0.726,P =0.000).The SpO2 and PaO2 of the premature group were lower than that of the mature group,and the differences were statistically significant (Z =-3.175,-2.409,respectively; P ＜ 0.05).There was no significant difference of PaO2,however,between the premature group and the mature group (P ＞ 0.05).Conclusions The “30-60-90” rule is a very convenient and effective bedside guideline for neonatal oxygen therapy,which is worthy in clinical promotion and implementation.
