摘要
目的探讨转变体位护理在新生儿肺炎患儿临床治疗中的应用效果。方法选择2017年4月至2018年10月本院收治的新生儿肺炎患儿72例,使用随机数表法将所有患儿分为两组,各36例。对照组予以常规体位护理,观察组实施转变体位护理,比较两组患儿生命体征、各症状持续时间及住院时间、智能发育情况、临床疗效及复发率。结果护理后,观察组HR、R分别为(127.36±5.84)次/min、(40.17±3.52)次/min,均低于对照组(138.05±6.22)次/min、(48.46±3.95)次/min,SPO2为(0.98±0.06)%,高于对照组(0.93±0.05)%,差异均有统计学意义(均P<0.05);观察组咳嗽、发热、哮鸣音、湿啰音、咳痰症状消失时间及住院时间分别为(4.17±0.38)d、(2.81±0.24)d、(3.81±0.33)d、(4.32±0.41)d、(3.29±0.26)d、(4.16±0.48)d,均短于对照组(5.62±0.49)d、(3.68±0.29)d、(4.87±0.42)d、(5.26±0.47)d、(4.27±0.35)d、(7.95±0.63)d,差异均有统计学意义(均P<0.05);护理后,观察组MDI评分为(91.08±7.23)分,高于对照组(86.19±6.74)分,差异有统计学意义(P<0.05);观察组临床治疗总有效率为97.22%(35/36),高于对照组77.78%(28/36),复发率为0.00%(0/36),低于对照组19.44%(7/36),差异均有统计学意义(均P<0.05)。结论新生儿肺炎患儿实施转变体位护理能够帮助其稳定各项生命体征、缩短症状持续时间,同时促进智能发育、降低复发可能性,有利于进一步提高临床疗效。
Objective To explore the effect of position-changing nursing in the clinical treatment of neonatal pneumonia.Methods 72 cases of neonatal pneumonia admitted to our hospital from April,2017 to October,2018 were selected.According to the different nursing methods,the children were divided into a control group and an observation group,with 36 cases in each group.The control group was given routine postural nursing,and the observation group position-changing nursing.The vital signs,durations of the symptoms,hospital stays,mental development indexes(MDI),clinical efficacies,and recurrence rates were compared between these two groups.Results After the nursing,the HR and R were lower and the SPO2 was higher in the observation group than in the control group[(127.36±5.84)beats/min vs.(138.05±6.22)beats/min,(40.17±3.52)times/min vs.(48.46±3.95)times/min,and(0.98±0.06)%vs.(0.93±0.05)%;all P<0.05].The times for the disappearance of cough,fever,moist rale,and productive cough as well as the hospital stay were shorter in the observation group than in the control group[(4.17±0.38)d vs.(5.62±0.49)d,(2.81±0.24)d vs.(3.68±0.29)d,(3.81±0.33)d vs.(4.87±0.42)d,(4.32±0.41)d vs.(5.26±0.47)d,(3.29±0.26)d vs.(4.27±0.35)d,and(4.16±0.48)d vs.(7.95±0.63)d;all P<0.05].The MDI score was higher in the observation group than in the control group after the nursing[(91.08±7.23)vs.(86.19±6.74);P<0.05].The total effective rate was higher and the recurrence rate was lower in the observation group than in the control group[97.22%(35/36)vs.77.78%(28/36)and 0.00%(0/36)vs.19.44%(7/36);both P<0.05].Conclusion Position-changing nursing for neonates with pneumonia can help stabilize their vital signs,shorten the durations of symptoms,promote intellectual development,reduce the possibility of recurrence,and improve the clinical effect.
作者
赵玉君
Zhao Yujun(Neonatal Department,Huaibin People's Hospital,Xinyang 464400,China)
出处
《国际医药卫生导报》
2020年第12期1795-1797,共3页
International Medicine and Health Guidance News
关键词
新生儿肺炎
转变体位护理
生命体征
复发
智能发育
Neonatal pneumonia
Position-changing nursing
Vital signs
Recurrence
Intellectual growth
