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当前位置：当代护理 > 2025年 6卷 (7)期

Open Access Article

Contemporary Nursing. 2025; 6: (7) ; 12-15 ; DOI: 10.12208/j.cn.20250328.

The impact of sleep preparation on improving the success rate of tidal breathing lung function testing in infants and young children
睡眠准备对提高婴幼儿潮气呼吸肺功能检测成功率的影响分析

作者： 杨佳红, 丁艺 *, 肖月琴, 户建华, 涂莹

广元市中心医院儿二科四川广元

*通讯作者：丁艺,单位：广元市中心医院儿二科四川广元；

发布时间: 2025-07-29 总浏览量: 124

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摘要

目的探讨睡眠准备对0～3岁婴幼儿潮气呼吸肺功能检测（TBLFT）成功率的影响。方法采用随机分组对照试验设计，纳入2023年1月至2025年1月某三甲医院儿科1776例需行TBLFT的婴幼儿，随机分为实验组（n=984）与对照组（n=792）。实验组接受标准化多维度睡眠准备干预（生物节律调整、环境优化、家长培训），对照组仅接受标准流程。主要结局指标为检测成功率，次要指标包括退检率及检测时长。结果睡眠准备组成功率为90.24%（888/984），显著高于对照组的75.00%（594/792）（χ²=98.32，P<0.001；RR=1.20，95%CI 1.15-1.26）。退检率降低61%（RR=0.39，95%CI 0.31-0.49）。结论睡眠准备通过同步患儿生理节律与检测窗口，显著提升TBLFT成功率，可作为非药物干预标准化流程推广。

关键词： 睡眠准备；婴幼儿；潮气呼吸肺功能检测；成功率；护理干预；随机对照试验

Abstract

Objective To explore the effect of sleep preparation on the success rate of tidal breathing lung function testing (TBLFT) in infants and young children aged 0–3 years.
Methods A randomized controlled trial was conducted, enrolling 1,776 infants requiring TBLFT in a tertiary pediatric hospital from January 2023 to January 2025. Participants were randomly assigned to the experimental group (n=984) or the control group (n=792). The experimental group received standardized multidimensional sleep preparation interventions (circadian rhythm adjustment, environmental optimization, and parental training), while the control group followed the standard procedure. The primary outcome was the testing success rate, with secondary outcomes including withdrawal rate and testing duration.
Results The success rate in the sleep preparation group was 90.24% (888/984), significantly higher than the control group's 75.00% (594/792) (χ²=98.32, P<0.001; RR=1.20, 95% CI 1.15-1.26). The withdrawal rate decreased by 61% (RR=0.39, 95% CI 0.31-0.49).
Conclusion s Sleep preparation significantly improves TBLFT success rates by synchronizing physiological rhythms with testing windows and can be standardized as a non-pharmacological intervention.

Key words： Sleep preparation; Infants and young children; Tidal breathing lung function testing; Success rate; Nursing intervention; Randomized controlled trial

参考文献 References

[1] Beydon N, Davis S D, Lombardi E, et al. An official American Thoracic Society/European Respiratory Society statement: pulmonary function testing in preschool children[J]. American Journal of Respiratory and Critical Care Medicine, 2007, 175(12): 1304-1345.

[2] Bates J H, Schmalisch G, Filbrun D, et al. Tidal breath analysis for infant pulmonary function testing. ERS/ATS Task Force on Standards for Infant Respiratory Function Testing[J]. European Respiratory Journal, 2000, 16(6): 1180-1192.

[3] 中华医学会儿科学分会呼吸学组肺功能协作组,《中华实用儿科临床杂志》编辑委员会. 儿童肺功能系列指南(四):潮气呼吸肺功能[J]. 中华实用儿科临床杂志, 2016, 31(21): 1617-1621.

[4] 王芳, 张皓, 朱亚忠, 等. 婴幼儿肺功能检测影响因素分析[J]. 中华儿科杂志, 2020, 58(5): 382-386.

[5] Coté C J, Karl H W, Notterman D A, et al. Adverse sedation events in pediatrics: a critical incident analysis of contributing factors[J]. Pediatrics, 2000, 105(4): 805-814.

[6] 贺琳昕, 范玲, 刘春峰, 等. 东北及内蒙古地区儿科重症监护病房护士镇痛镇静护理行为现状调查及影响因素分析[J]. 中国小儿急救医学, 2020, 27(3): 211-215.

[7] Paruthi S, Brooks L J, D'Ambrosio C, et al. Consensus statement of the American Academy of Sleep Medicine on the recommended amount of sleep for healthy children: methodology and discussion[J]. Journal of Clinical Sleep Medicine, 2016, 12(11): 1549-1561.

[8] Smith L J, McKay K O, van Asperen P P, et al. Innovations in pediatric pulmonary function testing: a decade in review[J]. Pediatric Pulmonology, 2021, 56(5): 987-995.

[9] Postolache T T, Oren D A. Circadian phase shifting, alerting, and antidepressant effects of bright light treatment[J]. Clinics in Sports Medicine, 2005, 24(2): 381-413.

[10] Goeren D, John s, Meskill K, et al. Quiet time: a noise reduction initiative in a neurosurgical intensive care unit [J].Crit Care Nurse,2018,38(4):38-44.

[11] Farokhnezhad Afshar P, Bahramnezhad F, Asgari P, et al. Effect of white noise on sleep in patients admitted to a coronary care[J]. Journal of Caring Sciences, 2016, 5(2): 103-109.

[12] Lin L W, Weng S C, Wu H S, et al. The effects of white noise on agitated behaviors, mental status, and activities of daily living in older adults with dementia[J]. Journal of Nursing Research, 2018, 26(1): 2-9.

[13] 黄维肖，方美，沈芸芸，等.儿童友好医疗实践及对儿科护理发展的启示[J].护理学在杂志，2025, 40(8): 124-128.

[14] Mendes L,Fernandes A,Garcia F.Sleep habits and disturbances in school-aged children[J]. Acta Pediátrica Portugal, 2004, 35: 341-347.

[15] 滕晓雨, 杜继鹏, 蔡雅君, 等. 屏幕暴露对学龄前儿童睡眠时间和质量的影响[J]. 中国妇幼健康研究, 2021, 32(4): 477-483.

[16] Horne J. REM sleep, energy balance and 'optimal foraging'[J]. Neuroscience & Biobehavioral Reviews, 2009, 33(3): 466-474.

[17] 郑丽萍，李玉雪，张方方，等.袋鼠式护理联合认知性心理护理在改善早产儿父母心理状态中的应用[J].齐鲁护理杂志，2023,29（23）：173-176.

[18] 谭秀.袋鼠式护理应用于新生儿的临床效果[J].医药前沿，2025，15（14）:109-112.

[19] Johnson R, Wilson C G, Saper C B, et al. Circadian rhythm effects on respiratory physiology[J]. Sleep Medicine Reviews, 2021, 58: 101456.

[20] 中华人民共和国国家卫生和计划生育委员会. 0岁～5岁儿童睡眠卫生指南[S]. 北京: 国家卫生和计划生育委员会, 2017.

[21] Paruthi S, Brooks L J, D'Ambrosio C, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine[J]. Journal of Clinical Sleep Medicine, 2016, 12(6): 785-786.

[22] Schulz K F, Altman D G, Moher D, et al. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials[J]. BMJ, 2010, 340: c332.

引用本文

杨佳红, 丁艺, 肖月琴, 户建华, 涂莹, 睡眠准备对提高婴幼儿潮气呼吸肺功能检测成功率的影响分析[J]. 当代护理, 2025; 6: (7) : 12-15.

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