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早产儿精细化管理在重症监护病房中的应用研究

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目的 研究重症监护病房早产儿管理中精细化管理的应用。方法 回顾性选取2021年3月—2022年2月本院重症监护病房早产儿100例,依据管理方法分为精细化管理组、常规化管理组两组,每组50例,统计分析两组母乳喂养情况、生长发育指标、早产并发症发生情况、管道不良事件发生情况、住院时间、医疗费用、家长满意度。结果 精细化管理组早产儿的开始母乳喂养时间早于常规化管理组,达到纯母乳喂养时间短于常规化管理组,住院期间总母乳量多于常规化管理组,住院期间总喂养量多于常规化管理组,组间差异有统计学意义(P<0。05)。精细化管理组早产儿的出院头围大于常规化管理组,组间差异有统计学意义(P<0。05),恢复出生体质量时间短于常规化管理组,组间差异有统计学意义(P<0。05)。精细化管理组早产儿的早产并发症发生率低于常规化管理组,组间差异有统计学意义(P<0。05)。精细化管理组早产儿的管道不良事件发生率低于常规化管理组,组间差异有统计学意义(P<0。05)。精细化管理组早产儿的住院时间短于常规化管理组,医疗费用低于常规化管理组,组间差异有统计学意义(P<0。05)。精细化管理组早产儿的家长满意度高于常规化管理组,组间差异有统计学意义(P<0。05)。结论 重症监护病房早产儿管理中精细化管理的应用效果较常规化管理好。
Application Research of Refined Management of Premature Infants in Intensive Care Unit
Objective To study application of refined management in management of premature infants in intensive care units.Methods The paper reviewed and chose 100 premature infants in intensive care unit of our hospital from March 2021 to February 2022,and divided them into two groups according to management methods:refined management group and routine management group,with 50 cases in each group.Breastfeeding situation,growth and development indicators,incidence of premature birth complications,incidence of adverse events in pipeline,length of stay,medical expenses,and parental satisfaction degree was statistically analyzed between two groups.Results Start time of breastfeeding for premature infants in refined management group was shorter than routine management group(P<0.05),and time to achieve pure breastfeeding was shorter than routine management group(P<0.05).Total amount of breast milk during hospitalization was higher than routine management group(P<0.05),and total amount of feeding during hospitalization was higher than routine management group(P<0.05).Discharged head circumference of premature infants in refined management group was greater than routine management group(P<0.05),and time to recover birth weight was shorter than routine management group(P<0.05).Incidence of premature birth complications in refined management group was lower than routine management group(P<0.05).Incidence of adverse events in pipeline of premature infants in refined management group was lower than routine management group(P<0.05).Length of stay of premature infants in refined management group was shorter than routine management group(P<0.05),and medical expense was lower than routine management group(P<0.05).Parental satisfaction degree of premature infants in refined management group was higher than routine management group(P<0.05).Conclusion Refined management can achieve better application effect than routine management in management of premature infants in intensive care unit.

Intensive care unitPremature infantsRefined management

韦苇

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广西河池市第一人民医院 新生儿科,广西 河池 546300

重症监护病房 早产儿 精细化管理

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(11)