封闭式吸痰技术在新生儿呼吸窘迫综合征中的疗效评价
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摘要
目的探究封闭式吸痰技术在新生儿呼吸窘迫综合征中的应用效果。方法选取2016年2月-2017年2月在徐州市儿童医院呼吸内三科收治的采用开放式吸痰干预的新生儿呼吸窘迫综合征患儿65例为对照组,另选取2017年3月-2018年3月收治的采用封闭式吸痰干预的新生儿呼吸窘迫综合征患儿65例为观察组。比较2组患儿在吸痰时间、恢复情况、呼吸机相关性肺炎(VAP)发生率及医疗费用的差异。结果与对照组比较,观察组患儿吸痰时间缩短、机械通气时间和住院时间缩短,VAP发生率和住院费用降低,差异有统计学意义(P <0.05)。结论封闭式吸痰干预应用于新生儿呼吸窘迫综合征患儿可有效缩短其吸痰时间,促进恢复,同时能降低VAP发生率及医疗费用,值得临床推广。
Objective To investigate the effects of closed endotracheal suction in neonatal respiratory distress syndrome.Methods 65 cases with neonatal respiratory distress syndrome were enrolled as control group from February 2016 to February 2017,and treated with open endotracheal suction technique.65 cases with neonatal respiratory distress syndrome were enrolled as observation group from March 2017 to March 2018,and treated with closed endotracheal suction technique.The sputum suction time,recovery,incidence of ventilator-associated pneumonia(VAP)and medical costs were compared in two groups.Results Compared with the control group,the observation group had shorter sputum suction time,shorter mechanical ventilation time and shorter hospitalization time,lower incidence of VAP and hospitalization costs(P <0.05).Conclusion Closed endotracheal suction for children with neonatal respiratory distress syndrome can effectively shorten the time of sputum suction and promote recovery,reduce the incidence of VAP and medical expenses,which is worth application and dissemination.
Objective To investigate the effects of closed endotracheal suction in neonatal respiratory distress syndrome.Methods 65 cases with neonatal respiratory distress syndrome were enrolled as control group from February 2016 to February 2017,and treated with open endotracheal suction technique.65 cases with neonatal respiratory distress syndrome were enrolled as observation group from March 2017 to March 2018,and treated with closed endotracheal suction technique.The sputum suction time,recovery,incidence of ventilator-associated pneumonia(VAP)and medical costs were compared in two groups.Results Compared with the control group,the observation group had shorter sputum suction time,shorter mechanical ventilation time and shorter hospitalization time,lower incidence of VAP and hospitalization costs(P <0.05).Conclusion Closed endotracheal suction for children with neonatal respiratory distress syndrome can effectively shorten the time of sputum suction and promote recovery,reduce the incidence of VAP and medical expenses,which is worth application and dissemination.
引文
[1]唐艳青,廖柳清,翁艺,等.肺表面活性物质联合NCPAP在新生儿呼吸窘迫综合征中的应用[J].护理实践与研究,2018,15(10):90-92.
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[13]王循红,陈宝艳,吴伟华,等.整体护理在羊水板层小体检测新生儿呼吸窘迫综合征中的应用效果[J].中华现代护理杂志,2015,29(1):3562-3564.
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[15]王循红,陈宝艳,吴伟华,等.整体护理在羊水板层小体检测新生儿呼吸窘迫综合征中的应用效果[J].中华现代护理杂志,2015,10(29):3562-3564.
[16]钱丽清,顾莺.新生儿经鼻持续呼吸道正压通气致鼻部压疮的护理进展[J].上海护理,2015,15(2):69-71.
[2]曹萍.新生儿呼吸窘迫综合征应用肺表面活性物质的护理进展[J].中西医结合护理,2016,2(8):147-149.
[3]YONIS H,BITKER L,AUBLANC M,et al.Change in cardiac output during Trendelenburg maneuver is a reliable predictor of fluid responsiveness in patients with acute respiratory distress syndrome in the prone position under protective ventilation[J].Crit Care,2017,21(1):295.
[4]李玉峰,王燕,蔡春,等.连俯卧位通气在新生儿呼吸窘迫综合征中应用效果的Meta分析[J].中华护理杂志,2017,52(4):436-442.
[5]HILDER M,HERBSTREIT F,ADAMZIK M,et al.Comparison of mortality prediction models in acute respiratory distress syndrome undergoing extracorporeal membrane oxygenation and development of a novel prediction score:the PREdiction of Survival on ECMO Therapy-Score(PRESET-Score)[J].Crit Care,2017,21(1):301-308.
[6]黄方,陈霞,饶绘.高频振荡通气联合肺表面活性物质治疗新生儿呼吸窘迫综合征[J].川北医学院学报,2017,32(3):332-335.
[7]刘燕秀,柯伟群,李凤玲.肺表面活性物质联合NCPAP治疗新生儿呼吸窘迫综合征的综合护理干预[J].临床护理杂志,2016,15(3):34-36.
[8]张艳艳.鼻塞CPAP作为新生儿呼吸窘迫综合征首选辅助通气方式的临床应用及护理体会[J].实用临床护理学电子杂志,2017,2(50):128-129.
[9]姜会钧.封闭式吸痰在降低新生儿RDS患儿呼吸机相关性肺炎发生率和住院费用中的效果观察[J].临床护理杂志,2017,16(3):73-75.
[10]曹亮.认知行为干预对新生儿呼吸窘迫综合征患儿父母负性情绪及应对方式的影响[J].全科护理,2017,15(26):3248-3250.
[11]WU M Y,CHANG Y S,HUANG C C,et al.The impacts of baseline ventilator parameters on hospital mortality in acute respiratory distress syndrome treated with venovenous extracorporeal membrane oxygenation:a retrospective cohort study[J].BMC Pulm Med,2017,17(1):181-183.
[12]胡玉萍.早产儿经鼻持续呼吸道正压通气并发腹胀的护理进展[J].全科护理,2017,15(4):420-422.
[13]王循红,陈宝艳,吴伟华,等.整体护理在羊水板层小体检测新生儿呼吸窘迫综合征中的应用效果[J].中华现代护理杂志,2015,29(1):3562-3564.
[14]ANAN K,ICHIKADO K,KAWAMURA K,et al.Clinical characteristics and prognosis of drug-associated acute respiratory distress syndrome compared with non-drug-associated acute respiratory distress syndrome:a single-centre retrospective study in Japan[J].BMJ Open,2017,7(11):153-156.
[15]王循红,陈宝艳,吴伟华,等.整体护理在羊水板层小体检测新生儿呼吸窘迫综合征中的应用效果[J].中华现代护理杂志,2015,10(29):3562-3564.
[16]钱丽清,顾莺.新生儿经鼻持续呼吸道正压通气致鼻部压疮的护理进展[J].上海护理,2015,15(2):69-71.