Effects of whole-person care in mechanical ventilation treatment of premature infants with respiratory distress syndrome on their blood gas and lung oxygenation
Objective:To study the effects of whole-person care in mechanical ventilation treatment of premature infants with respiratory distress syndrome(RDS)on their blood gas and lung oxygenation.Methods:92 premature infants with RDS treated in hospital were selected and were divide into control group(46 cases with routine nursing interven-tion)and observation group(46 cases with whole-person care intervention combined with routine nursing intervention)by random number table method from September 2022 to September 2023.The severity of disease,the lung injury sit-uation,the values of blood gas indexes,the respiratory dynamics,the pulmonary oxygenation function and the inci-dence rate of complications were compared between the two groups.Results:The total proportion of the infants with critically ill in the two groups after intervention had decreased significantly,and which(39.1％)of the infants in the observation group was significantly lower than that(65.2％)of the infants in the control group.The lung injury score of the infants in the two groups had decreased significantly,and which(39.1％)of the infants in the observation group was significantly lower than that(65.2％)of the infants in the control group.The values of arterial oxygen partial pres-sure and blood oxygen saturation of the infants in the two groups had increased significantly,and which(82.39±3.07 mmHg and 96.86％±0.78％)of the infants in the observation group were significantly higher than those(80.18±3.14 mmHg and 96.38％±0.83％)of the infants in the control group.The arterial carbon dioxide partial pressure value of the infants in the two groups had decreased significantly,and which(40.15±1.57 mmHg)of the infants in the observation group was significantly lower than that(41.02±1.43 mmHg)of the infants in the control group.The val-ues of peak inspiratory pressure and thoracic lung compliance of the infants in the two groups had increased significant-ly,and which of the infants in the observation group were significantly higher than those of the infants in the control group.The respiratory rate of the infants in the two groups had decreased significantly,and which(22.15±0.58 times/min)of the infants in the observation group was significantly lower than that(22.54±0.49 times/min)of the infants in the control group.The respiratory index and oxygenation index of the infants in the two groups had decreased signifi-cantly,and which(6.48±1.37 and 1.59±0.34)of the infants in the observation group were significantly lower than those(7.31±1.25 and 1.84±0.31)of the infants in the control group.The incidence of complications(2.2％)of the in-fants in the observation group was significantly lower than that(13.0％)of the infants in the control group(all P＜0.05).Conclusion:Whole-person care in mechanical ventilation treatment of the premature infants with RDS can re-duce their severity of disease,improve their lung injury,blood gas indexes,respiratory function and pulmonary oxy-genation function,and which can reduce the occurrence of the complications of the infants.
Premature infantRespiratory distress syndromeMechanical ventilationWhole-person careLung inju-ryBlood gas indexPneumodynamicsComplication
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