生理性海盐水鼻腔冲洗治疗新生儿鼻塞疗效剖析.docVIP

生理性海盐水鼻腔冲洗治疗新生儿鼻塞疗效剖析 　　[摘要] 目的 应用生理性海盐水鼻腔冲洗治疗新生儿鼻塞，并与体位疗法比较，观察该方法对于缓解新生儿鼻塞的疗效。方法 方便选取于2016年2月―2016年7月在该院产科分娩的单纯性鼻塞新生儿53例，随机分为观察组与对照组，观察组28例，对照组25例，观察组应用生理性海盐水鼻腔冲洗，对照组使用体位疗法，比较2组治疗方法对于缓解新生儿鼻塞的疗效。结果 观察组鼻塞缓解25例，总有效率89.29%；对照组鼻塞缓解11例，总有效率为44.00%。观察组总有效率显著高于对照组（χ2=10.440， P=0.001）。结论 该研究发现生理性海盐水鼻腔冲洗治疗新生儿鼻塞疗效显著优于体位疗法，对于改善新生儿气道通畅有较好的临床疗效。 　　[关键词] 新生儿；鼻塞；生理性海盐水；鼻腔冲洗；体位疗法 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2018）01（c）-0089-03 　　[Abstract] Objective This paper tries to compare the therapy application of physiological saline nasal irrigation with the position therapy to the neonatal nasal obstruction， and observe the curative effect of this methods to alleviate the neonatal nasal obstruction. Methods 53 neonatal cases with nasal obstruction born in this hospital from February 2016 to July 2016 were convenient selected. They were devided into observation group and control group ramdonly， and there were 28 cases in the observation group and 25 cases in the control group. Physiological saline nasal irrigation was used in the observation group， while postural therapy was applied in the control group. Then compared the efficacy of the two groups to relieve the neonatal nosal congestion. Results The nasal obstruction remission of 25 cases in the observation group， the total effective rate was 89.29%； and the number in the control group was 11 cases， and its effective rate was 44.00%. The effective rate in the observation group was significantly higher than the control group （χ2=10.440， P=0.001）. Conclusion In this research， it was founded that the efficay of physiological saline nasal irrigation for the treatment of neonatal nasal obstruction was much better than position therapy， and it had better clinical curative effect to improve neonatal airway patency. 　　[Key words] Neonate； Nasal obstruction； Physiological sea salt water； Nasal irrigation； Position therapy 　　新生儿离开温暖的母体之后，在干燥寒冷的环境中非常容易发生鼻塞。鼻塞所致的呼吸不畅可引发一系列症状：哭闹、烦躁不安、无法安睡及吃奶困难，而为改善通气以张口呼吸作为代偿，又可引起咽干、咳嗽甚至增加呼吸道感染的几率。有