摘要
目的:分析体位及气道分级管理应用于新生儿肺炎中的临床疗效。方法:于2022年1月-2024年1月选取本院收治的新生儿肺炎病例104例,随机数字表法分为两组各52例,均采用常规护理干预,观察组同时实施体位干预及气道分级管理措施。对比两组临床症状消失改善情况及临床疗效,干预前后血氧指标和呼吸功能指标。结果:干预后,观察组新生儿肺炎临床疗效总有效率(94.1%)高于对照组(80.8%),临床症状(咳嗽、肺部啰音、气促)消失时间及住院时间均短于对照组,两组血氧饱和度(SpO_(2))和动脉血氧分压(PaO_(2))均升高,动脉二氧化碳分压(PaCO_(2))降低,且观察组(96.39%±8.05%、93.05±5.84 mmHg、42.13±4.76 mmHg)优于对照组(92.57%±7.93%、84.39±4.78 mmHg、48.24±4.91 mmHg),观察组心率(143.56±5.11)、呼吸频率(40.39±4.73)均低于对照组(150.44±4.90、46.23±4.58)(均P<0.05)。结论:体位干预及气道分级管理应用于新生儿肺炎临床疗效提高,可有效缓解患儿临床症状,改善患儿呼吸循环状态,纠正血气指标,促进疾病康复。
Objective:To analyze the clinical efficacy of the posture and the airway grading management in the treatment of neonatal pneumonia.Methods:104 neonates with pneumonia were selected and were randomly divided into two groups(52 cases in each group)by random number table method from January 2022 to January 2024.The neonates in the control group received the routine nursing intervention,while the neonates in the study group received the positional interventions and airway grading management measures on the basis of neonates in the control group.The disappearance and improvement situations of the clinical symptoms,the clinical efficacy,and the values of the blood oxygen indexes and respiratory function indexes before and after intervention of the neonates were compared between the two groups.Results:The total effective rate(94.1%)of the neonates in the study group after intervention was significantly higher than that(80.8%)of the neonates in the control group.The disappearance time of the clinical symptoms(cough,pulmonary rales and shortness of breath)and the hospitalization time of the neonates in the study group were significantly shorter than those of the neonates in the control group.The values of the blood oxygen saturation(SpO_(2))and the arterial oxygen partial pressure(PaO_(2))of the neonates in the two groups had increased significantly,the arterial partial pressure of carbon dioxide(PaCO_(2))value of the neonates in the two groups had decreased significantly,and which(96.39%±8.05%,93.05±5.84 mmHg and 42.13±4.76 mmHg)of the neonates in the study group were significantly better than those(92.57%±7.93%,84.39±4.78 mmHg and 48.24±4.91 mmHg)of the neonates in the control group.The heart rate(143.56±5.11)and the respiratory rate(40.39±4.73)of the neonates in the study group were significantly lower than those(150.44±4.90 and 46.23±4.58)of the neonates in the control group(all P<0.05).Conclusion:The application of the positional intervention and the airway grading management for the neonates with pneumonia can effectively alleviate their clinical symptoms,improve their respiratory and circulatory status,correct their blood gas indicators and promote their disease recovery.
作者
郭瑞
林琳
郭倩
王彩兰
GUO Rui;LIN Lin;GUO Qian;WANG Cailan(Linquan People's Hospital,Fuyang,Anhui Province,236400;The Second People's Hospital of Fuyang)
出处
《中国计划生育学杂志》
2025年第6期1331-1335,共5页
Chinese Journal of Family Planning
关键词
新生儿肺炎
体位干预
气道分级管理
临床疗效
血氧指标
呼吸功能
Neonatal pneumonia
Positional intervention
Airway grading management
Clinical efficacy
Blood oxygen index
Respiratory function
