针对性护理在无创呼吸机治疗早产新生儿中的应用效果分析

Application effect analysis of targeted nursing in non-invasive ventilator treatment of premature neonates

摘要:

目的：探讨早产新生儿在使用无创呼吸机治疗中应用针对性护理对临床指标、血气分析指标及并发症的影响。方法：选取2020年3月～2022年2月在沭阳县中医院接受无创呼吸机治疗的100例早产新生儿,随机数表法将患儿分为观察组(n=50)与对照组(n=50),分别给予针对性护理和常规护理干预,干预后对两组临床指标、血气分析指标及并发症发生率进行比较。结果：观察组无创呼吸机使用时间(3.51±0.47)d、住院时间(15.24±1.62)d较对照组更短(P<0.05)；观察组动脉血氧分压(PaO₂)(75.45±7.54)mmHg、PH值(7.42±0.07)、动脉血氧饱和度(SaO₂)(98.82±0.56)%高于对照组的(69.62±5.96)mmHg、(7.33±0.05)、(97.41±1.08)%,动脉血二氧化碳分压(PaCO₂)(41.63±4.62)mmHg低于对照组的(45.59±5.13)mmHg(P<0.05)；观察组并发症发生率6.00%低于对照组的22.00%(P<0.05)。结论：针对性护理在早产新生儿无创呼吸机治疗中的应用可缩短治疗时间,改善血气分析指标,降低并发症发生风险。

Abstract:

Objective: To explore the effect of targeted nursing on clinical indicators, blood gas analysis indicators and complications in premature neonates using non-invasive ventilator treatment. Methods: A total of 100 premature neonates who received non-invasive ventilator treatment in our hospital from March 2020 to February 2022 were selected as the research objects, and the children were divided into an observation group (n=50) and a control group (n=50) according to the random number table method, targeted nursing and routine nursing interventions were given, respectively, and the clinical indicators, blood gas analysis indicators and the incidence of complications were compared between the two groups. Results: The use time of non-invasive ventilator (3.51±0.47) h and hospital stay (15.24±1.62) d in the observation group were shorter than control group (P<0.05);The arterial partial pressure of oxygen (PaO2) (75.45±7.54) mmHg, PH value (7.42±0.07) and arterial oxygen saturation (SaO2) (98.82±0.56)% in the observation group were higher than those in the control group (69.62±5.96) mmHg , (7.33±0.05), (97.41±1.08)%, arterial blood carbon dioxide partial pressure (PaCO2) (41.63±4.62) mmHg lower than control group (45.59±5.13) mmHg (P<0.05);The incidence of complications in the observation group was 6.00% lower than control group 22.00% (P<0.05). Conclusion: The application of targeted nursing in non-invasive ventilator treatment of premature neonates can shorten the treatment time, improve blood gas analysis indicators, and reduce the risk of complications.