摘要
目的探索极低出生体质量儿不同用氧方式对早产儿视网膜病变(retinopathy of prematurity,ROP)发生的影响,以便更安全地选择用氧方式,减少ROP的发生。方法回顾分析极低出生体质量儿用氧护理信息,收集2005年1月—2008年7月全部极低出生体质量儿的病历资料,重点记录用氧方式包括给氧途径、时间、浓度,比较不同用氧方式患儿ROP的发生率,以发现可能存在的高危因素。应用SPSS13.0统计软件进行数据处理,运用统计学描述和确切概率检验。结果应用头罩吸氧方式者与未应用者相比,ROP发生率更高(P=0.012);应用机械通气者较未应用者ROP发生率更高(P=0.011)。结论头罩吸氧较其他吸氧方式ROP发生可能性更高,建议在早产儿特别是极低出生体质量儿不选用头罩吸氧方式;机械通气是发生ROP的高危因素,选择应用时应慎重;极低出生体质量儿的用氧安全浓度是否应该低于一般早产儿,是一个值得关注的问题。
Objective To study the internal relationship between oxygen application method in very low birth weight newborns and retinopathy of prematurity（ROP） for safer oxygen application and reducing the incidence of ROP. Methods The nursing for oxygen application in very low birth weight newborns was retrospectively analyzed, the medical records of all the very low birth weight newborns from Jan. 2005 to Juh 2008 were collected, with the emphasis in the collection being the way, time and concentration ot oxygen supply. And the incidence rate of ROP was compared for spotting the possible high risk factors. Then the obtained statistics were processed by means of SPSS 13.0, and the results were examined through statistical description and exact probability test. Results Compared with those who did not use head cover for oxygen application, those who did had a higher incidence of ROP（P=0.012）. Compared with those who did not use mechanical ventilation, those with mechanical ventilation had a higher incidence of ROP （P=0.011）. Conclusion Oxygen application with head cover involves greater possibility of ROP incidence; therefore, it is suggested that the head cover not be used for premature infants, especially those with very low birth weight. We should be discreet in selecting mechanic ventilation which is a high risky factor for ROP. And whether the oxygen concentration for newborns with very low birth weight should be lower than that for common premature infants is a question worth attention.
出处
《护理学报》
2009年第3期5-7,共3页
Journal of Nursing（China）
关键词
极低出生体质量儿
氧气治疗
早产儿视网膜病变
very low birth weight newborn
oxygen application
retinopathy of prematurity
