Observation on the effect of position changing nursing for mechanically ventilated premature infants with neonatal respiratory distress syndrome
体位护理干预对NICU新生儿呼吸窘迫综合征患儿通气效果观察

摘要

目的 探讨体位护理在新生儿呼吸窘迫综合征机械通气早产儿中的应用价值，为临床护理工作提供实践参考。方法 选取2023年1月至2024年12月我院收治的84例机械通气早产儿病历资料，依据患儿住院期间落实的护理方式分为对照组与观察组，每组42例。对照组采用常规持续仰卧位护理，观察组采用俯卧、仰卧、左右侧卧规律循环交替护理，对比两组患儿通气48h血气指标、呼吸支持时长及肺部并发症发生情况。结果 两组患儿上机初始血气各项基线指标水平相近，组间差异无统计学意义（P＞0.05）。通气48h后，观察组氧合改善情况优于对照组，机械通气时长、整体氧疗支持时长更短，肺部并发症发生率更低，组间差异均存在统计学意义（P＜0.05）。结论 体位护理能够有效改善早产儿肺部通气功能，加快氧合恢复，缩短呼吸支持周期，减少机械通气造成的肺部损伤，实用性较强。

Abstract

Objective To explore the application value of position nursing in preterm infants with neonatal respiratory distress syndrome (NRDS) receiving mechanical ventilation, and to provide practical reference for clinical nursing work.
Methods The medical records of 84 preterm infants receiving mechanical ventilation admitted to our hospital from January 2023 to December 2024 were selected. According to the nursing methods implemented during hospitalization, the infants were divided into a control group and an observation group, with 42 cases in each group. The control group received routine continuous supine position nursing, while the observation group received regular cyclic alternating nursing among prone, supine, left lateral, and right lateral positions. The blood gas indicators at 48 h of ventilation, duration of respiratory support, and incidence of pulmonary complications were compared between the two groups.
Results Baseline blood gas indexes showed no significant difference between the two groups before ventilation (P＞0.05). After 48 hours of ventilation, the observation group obtained better oxygenation, shorter respiratory support time and fewer complications (P＜0.05).
Conclusion   Alternating position nursing can effectively improve pulmonary ventilation, accelerate the recovery of oxygenation, shorten the cycle of respiratory support, and reduce ventilator-induced lung injury in preterm infants, which has good clinical practicability.