重度窒息新生儿早期微量喂养联合呼吸机治疗的临床价值分析
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摘要
目的评价重度窒息新生儿早期微量喂养联合呼吸机的治疗效果,评定临床价值。方法方便选取该院2016年4月—2017年4月新生儿重症监护室所收治的重度窒息新生儿60例,采用随机数表法将其平均分为实验组与对照组,每组30例。两组患儿均予以呼吸机进行治疗,对照组加行常规喂养法治疗,实验组加行早期喂养法治疗。对比分析两组患儿的肠胃激素、血气分析指标、治疗时间与并发症等数据。结果两组患儿的血气分析指标均得到明显改善,实验组血气指标中pH(7.37±0.1)mmol/L、血氧分压(11.0±0.4)mmHg、血二氧化碳分压(5.9±0.4)mmHg。对照组血气指标中pH(7.31±0.11)mmol/L、血氧分压(8.2±0.3)mmHg、血二氧化碳分压(5.7±0.3)mmHg(t=4.210 6、30.672 4、4.190 8,P=0.031 0、0.000 0、0.032 5)。实验组患儿的改善程度高于对照组。结论重度窒息新生儿治疗过程中,早期微量喂养联合呼吸机治疗具有明显效果,可改善患儿的胃肠道功能,并减少并发症,提升临床应用安全性,值得进行推广。
Objective To evaluate the clinical value of early minimal feeding combined with ventilator therapy of newborns with severe asphyxia. Methods 60 cases of newborns with severe asphyxia admitted and treated in ICU in our hospital from April 2016 to April 2017 were selected and randomly divided into two groups with 30 cases in each, both groups were treated with ventilator, the control group added the routine feeding method, while the experimental group added the early feeding method, and the gastrointestinal hormones, blood gas analysis indexes, treatment time and complications were compared and analyzed. Results The blood gas analysis indicators of the two groups were improved obviously, and the pH(7.37±0.1) mmol/L, blood oxygen partial pressure(11±0.4) mmHg, blood carbon dioxide partial pressure(5.9±0.4) mmHg, were in the experimental group, and PH(7.31±0.11) mmol/L, blood oxygen partial pressure(8.2±0.3) mmHg, blood carbon dioxide partial pressure(5.7±0.3) mmHg were in the control group(t=4.210 6, 30.672 4, 4.190 8, P= 0.031 0, 0.000 0, 0.032 5),and the improvement degree of children in the experimental group was higher than that in the control group. Conclusion The effect of early minimal feeding combined with ventilator therapy of newborns with severe asphyxia is obvious, which can improve the gastrointestinal function of children, reduce the complications and improve the clinical application safety, and it is worth promotion.
Objective To evaluate the clinical value of early minimal feeding combined with ventilator therapy of newborns with severe asphyxia. Methods 60 cases of newborns with severe asphyxia admitted and treated in ICU in our hospital from April 2016 to April 2017 were selected and randomly divided into two groups with 30 cases in each, both groups were treated with ventilator, the control group added the routine feeding method, while the experimental group added the early feeding method, and the gastrointestinal hormones, blood gas analysis indexes, treatment time and complications were compared and analyzed. Results The blood gas analysis indicators of the two groups were improved obviously, and the pH(7.37±0.1) mmol/L, blood oxygen partial pressure(11±0.4) mmHg, blood carbon dioxide partial pressure(5.9±0.4) mmHg, were in the experimental group, and PH(7.31±0.11) mmol/L, blood oxygen partial pressure(8.2±0.3) mmHg, blood carbon dioxide partial pressure(5.7±0.3) mmHg were in the control group(t=4.210 6, 30.672 4, 4.190 8, P= 0.031 0, 0.000 0, 0.032 5),and the improvement degree of children in the experimental group was higher than that in the control group. Conclusion The effect of early minimal feeding combined with ventilator therapy of newborns with severe asphyxia is obvious, which can improve the gastrointestinal function of children, reduce the complications and improve the clinical application safety, and it is worth promotion.
引文
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[15]黄友清.重度窒息的新生儿颅脑超声表现[J].母婴世界,2017(8):67.
[2]邱汉银.窒息新生儿血清胱抑素C和尿微量白蛋白检测的临床意义[J].中国实用医药,2016(9):20-21.
[3]张瑜.新生儿重度窒息临床抢救及护理效果观察分析[J].当代护士, 2016(9):71-72.
[4]曾凡莉.新生儿重度窒息的临床抢救及其护理措施总结[J].中国保健营养,2018(18):259.
[5]胡美莲.新生儿重度窒息的抢救及护理效果观察[J].智慧健康,2018,4(7):93-94.
[6]苏艳辉,甄庆丰.重度窒息新生儿复苏的临床护理体会1例[J].饮食保健,2018(3):189.
[7]高秉芮.新生儿重度窒息的抢救及护理效果观察[J].心理医生,2018(3):212-213.
[8]李蓉.新生儿重度窒息的抢救与护理效果观察[J].母婴世界,2018(2):101.
[9]新生儿重度窒息濒死儿复苏方法的建议[J].中华围产医学杂志,2016(1):7-11.
[10]黄友清.重度窒息的新生儿颅脑超声表现[J].大家健康,2017(7中旬版):170-171.
[11]万静.新生儿重度窒息抢救基于预案管理护理措施中效果分析[J].医学理论与实践,2018(6):907,935.
[12]郭利华.对重度窒息的新生儿进行气管插管抢救后的护理措施[J].中国保健营养,2018(10):140-141.
[13]潘文莲.吞咽功能训练早期介入新生儿重度窒息的效果评价[J].中国实用医药,2018,13(4):191-192.
[14]黄丹钧,李素琴,张宣华,等.脐带结扎的时机选择对新生儿妊娠结局的影响[J].中国妇幼健康研究,2018(6):798-801.
[15]黄友清.重度窒息的新生儿颅脑超声表现[J].母婴世界,2017(8):67.