摘要
目的 分析高频振荡通气(HFOV)在肺出血新生儿中的应用及护理措施。方法 选取我院收治的30例肺出血新生儿为 研究对象,随机分为高频组和常规组,每组各15例,常规组予以常频机械通气治疗,高频组予以HFOV治疗。比较 两组患儿肺出血时间、住院时间、上机时间等临床指标,治疗前后二氧化碳分压(PaCO2),氧分压(PaO2)等血气指 标以及并发症的发生率。结果 高频组的肺出血时间、住院时间、上机时间均短于常规组,差异具有统计学意义 (P<0.05);治疗后,高频组的PaCO2水平低于常规组,PaO2水平高于常规组,差异具有统计学意义(P<0.05);高频 组的并发症发生率为26.67%,常规组的并发症发生率为40.00%,差异无统计学意义(P>0.05)。结论 HFOV联合合理 护理措施应用于新生儿肺出血,不仅能够显著缩短肺出血时间、住院时间、上机时间,且能改善血气指标,对并发 症不产生明显影响。
Objective To analyze the application and nursing measures of high frequency oscillatory ventilation (HFOV) in neonates with pulmonary hemorrhage. Methods 30 neonates with pulmonary hemorrhage admitted to our hospital were selected for the study and randomly divided into high frequency group and routine group, with 15 cases in each group. Routine group was treated with constant frequency mechanical ventilation, and high frequency group was treated with HFOV. The clinical indexes of pulmonary hemorrhage time, hospital stay and ventilator operation time, blood gas indexes of partial pressure of carbon dioxide (PaCO2) and partial pressure of oxygen (PaO2) before and after treatment and the incidence rate of complications were compared between the two groups. Results The pulmonary hemorrhage time, hospital stay and ventilator operation time in high frequency group were shorter than those in routine group (P<0.05). After treatment, the PaCO2 level in high frequency group was lower than that in routine group while the PaO2 level was higher than that in routine group (P<0.05). The incidence rate of complications was 26.67% in high frequency group and 40.00% in routine group (P>0.05). Conclusion HFOV combined with reasonable nursing measures for neonatal pulmonary hemorrhage can not only significantly shorten the pulmonary hemorrhage time, hospital stay and ventilator operation time, but also improve blood gas indexes, and it has no significant impact on complications
【关键词】高频振荡通气;新生儿肺出血;护理措施
【中图分类号】R563.6
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2019.01.017
前言
新生儿肺出血是呼吸窘迫或严重窒息后的并发 症,也是新生儿危重症之一,该病具有较高的病死 率,严重威胁着新生儿的生命安全。依据该病的发病 机制可知,其是由于肺部毛细血管压力急剧增高,进 而导致破裂与其它原因所致的大量渗出液混合。目前 多采用机械通气治疗新生儿肺出血,该方法也是临床 治疗该病的重要手段,既往多运用常频通气,虽具有 一定的效果,但仍存在低压无法满足肺部血液氧合状况、高压极易导致肺组织损伤等缺点。HFOV作为一种 新型的机械通气方式,因能够在不增加气压伤的情况 下有效提高氧合功能,被广泛运用于临床,并取得满 意效果[1],因此本研究旨在探讨其在临床新生儿肺出 血中的运用以及相关护理方法,以为临床诊疗该病提 供参考现报告如下。
罕少疾病杂志
第26卷, 第 1 期
2019年01月
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