摘要
目的 探讨分析无创呼吸机治疗小儿重症肺炎的护理配合要点探讨。方法 2022年01月-2023年01月为研究选择时段,选择方式为电脑随机抽取,研究范围是接受无创呼吸机治疗的小儿重症肺炎患者,共480例,以不同组别开展研究,对应对照组与观察组,前组采用常规护理,后组接受针对性护理干预,各组均含240例患者,比较并分析最终结果。结果 患儿气促、发绀、肺部啰音消退时间以及住院时间均更短的为观察组(P<0.05)。干预前患儿血气指标未见差异(P>0.05),干预后,PaCO2两组未见差异,PaO2水平相对更高的为观察组(P<0.05)。结论 接受无创呼吸机治疗的小儿重症肺炎患儿,为其提供针对性护理,能够缩减患儿康复时间,改善其血氧水平。
关键词: 无创呼吸机;小儿;重症肺炎;护理配合
Abstract
Objective To explore and analyze the key points of nursing cooperation in the treatment of severe pneumonia in children with non-invasive ventilation.
Methods From January 2022 to January 2023, a study period was selected using computer random sampling. The study included 480 children with severe pneumonia who received non-invasive ventilation treatment. The study was conducted in different groups, corresponding to a control group and an observation group. The first group received routine nursing care, while the second group received targeted nursing intervention. Each group consisted of 240 patients, and the final results were compared and analyzed.
Results The observation group consisted of patients with shortness of breath, cyanosis, lung rale resolution time, and shorter hospital stay (P<0.05). Before intervention, there was no significant difference in blood gas indicators between the two groups (P>0.05). After intervention, there was no difference in PaCO2 levels between the two groups. The observation group had relatively higher levels of PaO2 (P<0.05).
Conclusion Providing targeted care for children with severe pneumonia who receive non-invasive ventilation can reduce their recovery time and improve their blood oxygen levels.
Key words: Non invasive ventilator; Children; Severe pneumonia; Nursing cooperation
参考文献 References
[1] 冉雪莲,刘普瑰,姬慧勤,等. 重症肺炎呼吸衰竭患者急诊抢救中无创呼吸机辅助呼吸的护理方法及效果研究[J]. 山西医药杂志,2022,51(3):347-349.
[2] 胡莹,李刚敏,邓俊杰,等. 无创呼吸机治疗小儿重症肺炎的临床研究[J]. 现代医学与健康研究(电子版),2022, 6(9):50-52.
[3] 管宝欢. 无创呼吸机辅助通气治疗重症肺炎致呼吸衰竭的临床应用效果[J]. 中国医疗器械信息,2022,28(20): 137-139.
[4] 王红,余淑娟,姬慧勤. 强化心理护理对接受无创呼吸机治疗的重症肺炎伴呼吸衰竭患者的应用效果分析[J]. 山西医药杂志,2022,51(22):2628-2631.
[5] 冉雪莲,刘普瑰,姬慧勤,等. 重症肺炎呼吸衰竭患者急诊抢救中无创呼吸机辅助呼吸的护理方法及效果研究[J]. 山西医药杂志,2022,51(3):347-349.
[6] 杨莉,彭璐,康路花,等. 基于气道内雾化吸入的护理模式在呼吸机辅助治疗小儿重症肺炎合并呼吸衰竭中的应用效果[J]. 中国当代医药,2023,30(28):184-188.
[7] 梁静. 改良式拍背吸痰护理模式对呼吸机治疗重症肺炎新生儿气道阻塞状况及康复效果的影响[J]. 中国医药指南, 2023,21(13):168-170,174.
[8] 康美云,冀敏. 危重症专职护理模式在小儿重症肺炎护理中的应用效果[J]. 贵州医药,2023,47(6):976-977