头高侧卧位护理在新生儿胃食管反流中应用效果.docVIP

头高侧卧位护理在新生儿胃食管反流中应用效果 　　[摘要] 目的 探讨头高侧卧位护理在新生儿胃食管反流中的应用效果。 方法 选取本院2012年1月～2014年8月收治的120例胃食管反流新生儿作为研究对象，随机分为观察组与对照组，各60例。两组均采用相同的基础护理，对照组采用仰卧位护理方法，观察组采取头高侧卧位护理方法。治疗7 d后比较两组的呕吐次数及吸入性肺炎发生率。 结果 两组护理后的呕吐次数显著低于护理前，差异有统计学意义（P0.05）。观察组护理后的呕吐次数显著低于对照组护理后，差异有统计学意义（P0.05）。观察组的吸入性肺炎发生率显著低于对照组，差异有统计学意义（P0.05）。观察组的总有效率为95.00%，显著高于对照组的80.00%，差异有统计学意义（P0.05）。 结论 头高侧卧位护理在新生儿胃食管反流中的应用效果显著，能够减少患儿的呕吐次数，降低吸入性肺炎发生率，值得临床推广应用。 　　[关键词] 胃食管反流；新生儿；护理方法；临床效果 　　[中图分类号] R725.7 [文献标识码] A [文章编号] 1674-4721（2015）06（a）-0189-03 　　Application effect of head-raising lateral position nursing in neonatal gastroesophageal reflux 　　WEN Duan-yi ZHOU Xiao-chuan SHEN Wen-ren ZHAO Qin CHEN Yuan DENG Zhi-min 　　Department of Neonatology，Liwan Hospital of Guangzhou Medical College，Guangzhou 510175，China 　　[Abstract] Objective To explore the application effect of head-raising lateral position nursing in neonatal gastroesophageal reflux. Methods 120 newborns with gastroesophageal reflux in our hospital from January 2012 to August 2014 were selected and randomly divided into the observation group and the control group.The same basic nursing was provided in two groups.The control group was given supine position of nursing，the observation groupwas given head-raising later position nursing.Frequency of vomiting and the incidence rate of aspiration pneumonia in two groups after 7-day treatment was compared. Results Frequency of vomiting in two groups after nursing was lower than that before nursing，with significant difference（P0.05）.Frequency of vomiting in the observation group after nursing was lower than that in the control group after nursing，with significant difference（P0.05）.The incidence rate of aspiration pneumonia in the observation group was lower than that in the control group，with significant difference（P0.05）. Conclusion The application effect of head-raising lateral position nursing in neonatal gastroesophageal reflux is significant，which can reduce frequency of vomiting and the incidence rate of asp