广东医学2024，Vol.45Issue(5)：577-582,6.DOI:10.13820/j.cnki.gdyx.20233225
肺超声指导下的体位管理在新生儿呼吸机相关性肺炎中的临床应用
Clinical application of positioning management under ultrasound guidance in neonatal ventilator-associated pneumonia
摘要
Abstract
Objective To explore the clinical effects of positioning management under ultrasound guidance in neonatal ventilator-associated pneumonia(VAP).Methods Fifty neonates with gestational age＞32 weeks diagnosed with VAP and admitted to the Department of Pediatrics were randomly divided into the ultrasound-guided positioning management group(experimental group)and the conventional positioning management group(control group).The lung ultrasound manifestations,blood gas analysis,oxygenation index,lung ultrasound scores,ventilator usage,length of hos-pital stay,and complications were compared between the two groups.Results The back ultrasound scores in both groups were higher than the front or lateral chest scores.After 7 days of intervention,the front,lateral chest,and back ultrasound scores in the experimental group were significantly lower than those in the control group(P＜0.05).Among them,the back ultrasound score was higher than the front and lateral chest scores and showed significant changes(P＜0.05).The total ultrasound scores in the experimental group were significantly lower than those in the control group after 3 and 7 days of intervention(P＜0.05).The total ultrasound score in the experimental group significantly decreased after 7 days of in-tervention compared to before the intervention(P＜0.05).The oxygenation index on the 7th day after intervention in the experimental group was significantly lower than before the intervention and lower than that in the control group(P＜0.05).There were statistically significant differences between the experimental and control groups in ventilator usage time,and time to removal of nasogastric tube(P＜0.05).Conclusion Pulmonary ultrasound can serve as a monitoring tool to guide the position management of neonatal VAP,which helps to shorten the time of ventilator use in neonatal VAP patients and is worthy of clinical promotion and application.关键词
肺超声/体位管理/新生儿呼吸机相关性肺炎/新生儿呼吸机辅助通气Key words
pulmonary ultrasound/positioning management/neonatal ventilator-associated pneumonia/neo-natal mechanical ventilation分类
医药卫生引用本文复制引用
黄惜华,麦晓蔚,李惠怡,李琳,孟琼,梁振宇..肺超声指导下的体位管理在新生儿呼吸机相关性肺炎中的临床应用[J].广东医学,2024,45(5):577-582,6.基金项目
广东省医学科学技术研究基金项目(A2022327) （A2022327）
