集束化护理干预对新生儿机械通气患儿预后的影响.docVIP

集束化护理干预对新生儿机械通气患儿预后的影响 许冰 (河南省潔河市中心医院宣传科 462000) 【摘要】目的：探讨集束化护理干预对新牛儿机械通气患儿预后的影响。方 法：将106例新牛儿机械通气患儿分为观察组(56例)、对照组(50例)，观察 组给予集束化护理，对照组给予常规护理，比较两组患儿机械通气时间及常见并 发症的发牛有无差异。结果：观察组患儿机械通气时间和呼吸机相关性肺炎发牛 率均明显低于对照组，差异有统计学意义(Plt;0.05)o观察组败血症、气胸、 颅内出血的发生率均低于对照组，但两组比较无统计学差异(Pgt;0.05)o结论： 集束化护理能减少新牛儿机械通气时间，降低新牛儿机械通气并发症的发牛，改 善患儿的预后。 【关键词】集束化护理 新生儿机械通气 【中图分类号】R473.72 【文献标识码】A 【文章编号】1672-5085 (2014) 01-0089-02 [Abstract] Objective: To explore the effects of bun died care in terve ntion to the prog nosis of the n eonatal mecha nical ven tilati on. Methods: 106 neon atus with mechanical ventilation in NICU were divided into obvervation group (56 cases) and control group( 50 cases). The obvervati on group was received bun died care intervention and the control was received conventional care. The time and complicatio n of neon ata I mechanical ven tilati on were compared betwee n the two groups. Results: The mechanical ventilation time and the incidenee rate of ventilator-associated pneumonia(VAP) in observation group were lower than the control group (Plt;0.05). The incidenee rates of pneumorrhagia, pneumothorax, intracranial hemorrhages, neonatal necrotizing enteroolitis in the observation group were lower tnan that in the control group, though they were not sign讦icant differet (Pgt;0.05) ? Conclusion: Bundled care intervention could significantly reduce the time and complication of neonatal mechanical ventilation. It could improve the prog nosis in neon atal mecha nical ven tilati on. 【Key words］ Bun died care interve ntion neon atal mecha nical ven tilati on 新生儿呼吸系统代偿能力低下，当患呼吸系统疾病时极易发生呼吸衰竭，机 械通气是治疗新生儿呼吸衰竭的重要手段，它能使新生儿的病死率大幅下降，但 应用呼吸机后可引起的一系列并发症［1］。集束化护理是近几年产生于ICU专业的 新名词，是指集合一系列有循证基础的治疗及护理措施，来处理某种难治的临床 疾患［2］,最先应用ICU病人呼吸机相关性肺炎(Ventilator-associated Pneumonia,VAP)的预防［3］。从2011年6月开始，本院新生儿重症监护病房(NICU) 按照循证护理的证据，将一-组有效的护理措施捆绑在一起，形成集束化护理方案, 对新生儿重症监护病房机械通气的新生儿行集束化护理，降低了并发症，现报告 如下。 1对象与方法 1.1研究对象 选择2009年6月-2012年12月在本院NICU行机械通气的新 生儿106例为研究对象，其中早产儿70例，足月儿36例，平均胎龄 (34.5plusmn;3.5)周，体重(2205?5plusmn