持续气道正压通气治疗新生儿呼吸衰竭的综合护理分析.docVIP

精品论文 参考文献 持续气道正压通气治疗新生儿呼吸衰竭的综合护理分析 段姗姗商丘市第一人民医院新生儿重症监护室1NICU1 河南商丘 476100) 　　[摘要] 目的:研究持续气道正压通气治疗新生儿呼吸衰竭效果及综合护理效果。方法:将我院2013年5月—2015年12月收治的70例呼吸衰竭新生儿，随机分为对照组与研究组，各35例，均行持续气道正压通气治疗。同时给予对照组患儿常规护理，研究组患儿行综合护理。比较两组患儿治疗、护理效果。结果:治疗后对照组患儿PH值、PaO2水平低于研究组，PaCO2水平高于研究组，差异显著（P＜0.05）；对照组患儿家属对护理的满意度（74.3%）低于研究组（94.3%），差异显著（P＜0.05）。结论:采用持续气道正压通气治疗呼吸衰竭患儿并加用综合护理，可控制患儿病情发展，增强治疗效果。 　　[关键词] 持续气道正压通气；新生儿；呼吸衰竭；综合护理 　　Analysis of continuous positive airway pressure ventilation in treatment of neonatal respiratory failure 　　Duan Shanshan (Department of neonatal intensive care unit, Shangqiu First Peoples Hospital, Shangqiu, Henan 476100,) 　　[Abstract] Objective: To study the effect of continuous positive airway pressure ventilation in the treatment of neonatal respiratory failure. Methods: 70 cases of neonatal respiratory failure were randomly divided into control group and study group, 35 cases in our hospital from December 2015 to May 2013. All patients were treated with continuous positive airway pressure ventilation. At the same time, the control group was given routine nursing, and the study group received comprehensive nursing care. Treatment and nursing effect of two groups were compared. Results: after treatment in the control group with pH, PaO2 levels lower than the study group and PaCO2 levels higher than the research group, and the difference is significant (P lt; 0.05); the control group of the families of the children of nursing satisfaction (74.3%) was lower than that in study group (94.3%), the difference was significant (P lt; 0.05). Conclusion: the use of continuous positive airway pressure ventilation in the treatment of respiratory failure patients with comprehensive care, can control the disease development, enhance the treatment effect. 　　[key words] continuous positive airway pressure (cpap); The newborn; Respiratory failure. Comprehensive nursing care 　　呼吸衰竭是新生儿娩出后常见的临床疾病，表现为缺氧、肺泡萎缩及呼吸困难等症状。对能自主呼吸的患儿采用持续气道正压通气治疗，能使气道扩张维持稳定，增加肺部顺应性，便于气体进行交换[1]；但患儿在治疗期间，易出现不同程度的并发症，影