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预警机制联合转变体位护理在新生儿肺炎中的应用效果

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目的:观察预警机制联合转变体位护理在新生儿肺炎中的应用效果.方法:回顾性分析 2020 年 1 月至 2023 年 1 月该院新生儿科收治的 70 例肺炎患儿的临床资料,根据护理方法不同将其分为观察组(n=35)和对照组(n=35).对照组采用转变体位护理,观察组在对照组基础上联合预警机制,比较两组护理前后生命体征[动脉血二氧化碳分压(PaCO2)、动脉血氧分压(PaO2)、血氧饱和度(SpO2)、呼吸频率(RR)]水平、住院时间、临床症状消失时间和护理期间并发症发生率.结果:护理后,观察组SpO2、PaO2 水平均高于对照组,PaCO2、RR水平均低于对照组,差异有统计学意义(P<0.05);观察组发热、咳嗽喘息、肺部啰音等临床症状消失时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为 2.86%(1/35),低于对照组的 22.86%(8/35),差异有统计学意义(P<0.05).结论:预警机制联合转变体位护理应用于肺炎患儿可改善生命体征水平,缩短临床症状消失时间和住院时间,降低并发症发生率,效果优于单纯转变体位护理.
Application effects of early warning mechanism combined with position change nursing in neonatal pneumonia
Objective:To observe application effects of early warning mechanism combined with position change nursing in neonatal pneumonia.Methods:The clinical data of 70 children with pneumonia admitted to the neonatal department of the hospital from January 2020 to January 2023 were retrospectively analyzed.According to different nursing methods,they were divided into observation group(n=35)and control group(n=35).The control group was treated with position change nursing,while the observation group was combined with early warning mechanism on the basis of that of the control group.The levels of vital signs[arterial carbon dioxide partial pressure(PaCO2),arterial oxygen partial pressure(PaO2),blood oxygen saturation(SpO2),respiratory rate(RR)],the hospitalization time,the disappearance time of clinical symptoms,and the incidence of complications during the nursing were compared between the two groups before and after the nursing.Results:After the nursing,the levels of SpO2 and PaO2 in the observation group were higher than those in the control group,the levels of PaCO2 and RR were lower than those in the control group,and the differences were statistically significant(P<0.05).The disappearance time of clinical symptoms such as fever,cough and wheezing,pulmonary rales and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 2.86%(1/35),which was lower than 22.86%(8/35)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The early warning mechanism combined with position change nursing in the children with pneumonia can improve the level of vital signs,shorten the disappearance time of clinical symptoms and the hospitalization time,and reduce the incidence of complications.Moreover,it is superior to simple position change nursing.

Neonatal pneumoniaChildrenPosition change nursingEarly warning mechanismVital signClinical symptomComplication

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商丘市第一人民医院新生儿科,河南 商丘 476100

新生儿肺炎 儿童 转变体位护理 预警机制 生命体征 临床症状 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(14)
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