中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
10期
98-99
,共2页
新生儿%呼吸机相关肺炎%护理
新生兒%呼吸機相關肺炎%護理
신생인%호흡궤상관폐염%호리
Neonatal%Ventilator associated pneumonia%Care
目的 探讨新生儿呼吸机相关肺炎(VAP)的影响因素及针对其改进护理干预的疗效分析.方法 选取2013年2月至2014年6月入住许昌市中心医院机械通气患儿108例作为研究对象,其中对照组50例,采用常规护理操作,观察组58例,在常规护理基础上给予彻底更换湿化器无菌蒸馏水,抬高患儿头部,经常变换体位,及时灌肠通便;根据患儿情况,减少断开管路的吸痰次数,病情稳定之后尽早撤机.结果 和对照组相比,观察组呼吸机相关肺炎的发生率较前减低,经统计学分析,差异有统计学意义(P＜0.05).结论 针对呼吸机相关肺炎的相关因素改进护理方法,取得了良好效果.改进后的护理方案,能够减少VAP的发生率,减少患儿住院费用,缩短了平均住院日,加速床位周转,有较好的社会效益及经济效益,值得推广.
目的 探討新生兒呼吸機相關肺炎(VAP)的影響因素及針對其改進護理榦預的療效分析.方法 選取2013年2月至2014年6月入住許昌市中心醫院機械通氣患兒108例作為研究對象,其中對照組50例,採用常規護理操作,觀察組58例,在常規護理基礎上給予徹底更換濕化器無菌蒸餾水,抬高患兒頭部,經常變換體位,及時灌腸通便;根據患兒情況,減少斷開管路的吸痰次數,病情穩定之後儘早撤機.結果 和對照組相比,觀察組呼吸機相關肺炎的髮生率較前減低,經統計學分析,差異有統計學意義(P＜0.05).結論 針對呼吸機相關肺炎的相關因素改進護理方法,取得瞭良好效果.改進後的護理方案,能夠減少VAP的髮生率,減少患兒住院費用,縮短瞭平均住院日,加速床位週轉,有較好的社會效益及經濟效益,值得推廣.
목적 탐토신생인호흡궤상관폐염(VAP)적영향인소급침대기개진호리간예적료효분석.방법 선취2013년2월지2014년6월입주허창시중심의원궤계통기환인108례작위연구대상,기중대조조50례,채용상규호리조작,관찰조58례,재상규호리기출상급여철저경환습화기무균증류수,태고환인두부,경상변환체위,급시관장통편;근거환인정황,감소단개관로적흡담차수,병정은정지후진조철궤.결과 화대조조상비,관찰조호흡궤상관폐염적발생솔교전감저,경통계학분석,차이유통계학의의(P＜0.05).결론 침대호흡궤상관폐염적상관인소개진호리방법,취득료량호효과.개진후적호리방안,능구감소VAP적발생솔,감소환인주원비용,축단료평균주원일,가속상위주전,유교호적사회효익급경제효익,치득추엄.
Objective To investigate the factors influencing the effect of nursing for children with mechanical ventilation,and thus evaluate the results of the improved intervention.Methods One hundred and eight neonates with mechanical ventilation who were treated in the intensive care unit(ICU) from February 2013 to June 2014 were selected and randomly divided into observation group and control group.The control group was given usual nursing; besides the usual measures,the observation group were conducted some other interventions such as replacing sterile distilled water of humidifier thoroughly,alternating position frequently,giving enema in time,sputum suctions were reduced if possible and evacuating ventilator as soon as possible.Results Compared with the control group,the incidence rate of VAP was reduced in the observation group,and the difference was significant (P ＜ 0.05).Conclusions Improved nursing intervention for children with mechanical ventilation can reduce the VAP incidence,lower costs,shorten the average length of stay and speed up the bed turnover.It has high social economic benefits,and therefore is worth to be popularized.
