临床与病理杂志2023，Vol.43Issue(9)：1670-1676,7.DOI:10.11817/j.issn.2095-6959.2023.230038
针对性护理配合气道分级管理在早产儿呼吸窘迫综合征中的应用
Application of targeted nursing combined with airway hierarchical management in premature infants with respiratory distress syndrome
摘要
Abstract
Objective:The incidence of respiratory distress syndrome(RDS)in premature infants is relatively high,and it is a major cause of respiratory failure and death in premature infants.Choosing an appropriate nursing plan can reduce the incidence of complications and mortality.This study observed the application effect of targeted nursing combined with airway hierarchical management in premature infants with RDS. Methods:Clinical data of 132 premature infants with RDS admitted to Anhui Province Maternity&Child Health Hospital from February 28,2020,to December 31,2022,were retrospectively collected.Among them,66 cases who received routine nursing from February 28,2020,to June 30,2021,were included in a control group,and 66 cases who received targeted nursing combined with airway hierarchical management from July 1,2021,to December 31,2022,were included in an observation group.The respiratory machine indicators[application times of pulmonary surfactant(PS),oxygenation index(OI),respiratory rate(RR)],mechanical ventilation time,and the length of hospital stay between the 2 groups were compared.Blood gas indicators[arterial partial pressure of oxygen(PaO2),arterial partial pressure of carbon dioxide(PaCO2),pH],and Acute Physiology and Chronic Health Evaluation(APACHE)Ⅱ scores before and after intervention were compared.The occurrence of complications during the intervention period in both groups was also recorded. Results:The number of PS applications in the observation group was less than that in the control group(P<0.05).After the intervention,the maximum OI of the 2 groups increased compared to before the intervention,and the observation group was higher than the control group(P<0.05);RR decreased compared to before the intervention,and the observation group was lower than the control group(P<0.05).The mechanical ventilation time and hospital stay in the observation group were lower than those in the control group(both P<0.05).After the intervention,PaO2 and pH increased compared to before the intervention,and the observation group was higher than the control group(P<0.05);PaCO2 decreased compared to before the intervention,and the observation group was lower than the control group(P<0.05).After the intervention,the APACHE II score in the observation group was lower than that in the control group(all P<0.05).The total incidence of complications during the intervention period in the observation group was 6.06％,lower than 18.18％in the control group(P<0.05). Conclusion:Targeted nursing combined with airway hierarchical management can effectively improve respiratory quality and blood gas indexes in premature infants with RDS,reduce the duration of mechanical ventilation time and hospital stay,improve the condition,and reduce the incidence of complications.关键词
针对性护理/气道分级管理/早产儿/呼吸窘迫综合征Key words
targeted nursing/airway hierarchical management/premature infants/respiratory distress syndrome引用本文复制引用
黄正玲,张蕖,贾贤芬,崔陈陈,张彬..针对性护理配合气道分级管理在早产儿呼吸窘迫综合征中的应用[J].临床与病理杂志,2023,43(9):1670-1676,7.基金项目
中国疾病预防控制中心妇幼保健中心项目(2022FYH007).This work was supported by the National Center for Women and Children's Health Program of Chinese Center for Disease Control and Prevention,China(2022FYH007). （2022FYH007）
