转变体位护理在新生儿肺炎机械通气中的应用效果OA
Application effect of postural change nursing in mechanical ventilation for neonatal pneumonia
目的 观察转变体位护理在新生儿肺炎机械通气中的应用效果.方法 选取 2021年11月至2022 年11月于广西壮族自治区妇幼保健院新生儿科接受机械通气治疗的 70 例新生儿肺炎患儿,采用随机数字表法分为观察组和对照组,每组各35例.对照组采取常规护理,观察组采取常规护理联合转变体位护理,比较两组护理效果.结果 观察组气促、喘憋、肺部啰音的改善时间比对照组短(P<0.05);干预后,观察组动脉血氧分压、氧合指数比对照组高,动脉血二氧化碳分压比对照组低(P<0.05);观察组并发症总发生率为 5.71%,低于对照组的 28.57%,差异有统计学意义(P<0.05).结论 转变体位护理在新生儿肺炎机械通气中的应用效果较好,可促进症状缓解,改善血气指标,减少并发症,值得推广.
Objective To observe the application effect of postural change nursing in mechanical ventilation for neonatal pneumonia.Methods A total of 70 children with neonatal pneumonia who received mechanical ventilation treatment in the Department of Neonatology,Maternity and Child Health Care of Guangxi Zhuang Autonomous Region from November 2021 to November 2022 were selected.They were divided into the observation group and the control group by the random number table method,with 35 cases in each group.The control group received routine nursing,while the observation group received routine nursing combined with postural change nursing.The nursing effects of the two groups were compared.Results The improvement time of shortness of breath,wheezing,and pulmonary rales in the observation group was shorter than that in the control group(P<0.05).After the intervention,the arterial partial pressure of oxygen and oxygenation index in the observation group were higher than those in the control group,and the arterial partial pressure of carbon dioxide was lower than that in the control group(P<0.05).The total incidence of complications in the observation group was 5.71%,which was lower than 28.57% in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of postural change nursing in mechanical ventilation for neonatal pneumonia has a good effect,which can promote symptom relief,improve blood gas indicators,and reduce complications,and is worthy of promotion.
陈秋虹;韦金梅;梁丽
广西壮族自治区妇幼保健院新生儿医疗中心二病区,广西 南宁 530005广西壮族自治区妇幼保健院新生儿医疗中心二病区,广西 南宁 530005广西壮族自治区妇幼保健院新生儿医疗中心二病区,广西 南宁 530005
医药卫生
转变体位护理新生儿肺炎机械通气血气指标
Postural change nursingNeonatal pneumoniaMechanical ventilationBlood gas indicator
《妇儿健康导刊》 2026 (2)
115-118,4
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