CAJ | 학술논문

目的：探讨头高侧卧位护理在新生儿胃食管反流中的应用效果。方法选取本院2012年1月~2014年8月收治的120例胃食管反流新生儿作为研究对象，随机分为观察组与对照组，各60例。两组均采用相同的基础护理，对照组采用仰卧位护理方法，观察组采取头高侧卧位护理方法。治疗7d后比较两组的呕吐次数及吸入性肺炎发生率。结果两组护理后的呕吐次数显著低于护理前，差异有统计学意义（P<0.05）。观察组护理后的呕吐次数显著低于对照组护理后，差异有统计学意义（P<0.05）。观察组的吸入性肺炎发生率显著低于对照组，差异有统计学意义（P<0.05）。观察组的总有效率为95.00%，显著高于对照组的80.00%，差异有统计学意义（P<0.05）。结论头高侧卧位护理在新生儿胃食管反流中的应用效果显著，能够减少患儿的呕吐次数，降低吸入性肺炎发生率，值得临床推广应用。
목적：탐토두고측와위호리재신생인위식관반류중적응용효과。방법선취본원2012년1월~2014년8월수치적120례위식관반류신생인작위연구대상，수궤분위관찰조여대조조，각60례。량조균채용상동적기출호리，대조조채용앙와위호리방법，관찰조채취두고측와위호리방법。치료7d후비교량조적구토차수급흡입성폐염발생솔。결과량조호리후적구토차수현저저우호리전，차이유통계학의의（P<0.05）。관찰조호리후적구토차수현저저우대조조호리후，차이유통계학의의（P<0.05）。관찰조적흡입성폐염발생솔현저저우대조조，차이유통계학의의（P<0.05）。관찰조적총유효솔위95.00%，현저고우대조조적80.00%，차이유통계학의의（P<0.05）。결론두고측와위호리재신생인위식관반류중적응용효과현저，능구감소환인적구토차수，강저흡입성폐염발생솔，치득림상추엄응용。
Objective To explore the application effect of head-raising lateral position nursing in neonatal gastroesophageal reflux. Methods 120 newborns with gastroesophageal reflux in our hospital from January 2012 to August 2014 were selected and randomly divided into the observation group and the control group.The same basic nursing was provided in two groups.The control group was given supine position of nursing,the observation groupwas given head-raising later position nursing.Frequency of vomiting and the incidence rate of aspiration pneumonia in two groups after 7-day treatment was compared. Results Frequency of vomiting in two groups after nursing was lower than that before nursing, with significant difference (P<0.05).Frequency of vomiting in the observation group after nursing was lower than that in the control group after nursing,with significant difference (P<0.05).The incidence rate of aspiration pneumonia in the observation group was lower than that in the control group,with significant difference (P<0.05). Conclusion The application effect of head-raising lateral position nursing in neonatal gastroesophageal reflux is significant,which can reduce frequency of vomiting and the incidence rate of aspiration pneumonia,it is worthy of clinical promotion and application.