摘要
目的：研究俯卧位鼻塞持续气道正压通气对早产儿呼吸暂停的影响。方法选择NICU收治的鼻塞持续气道正压通气的早产儿80例，按随机数字表法分为俯卧组和仰卧组各40例，两组均予经鼻持续气道正压通气（ NCPAP）和氨茶碱治疗以及相关护理，比较两组治疗效果。结果俯卧组在治疗早产儿呼吸暂停中总有效率为97．5％，仰卧组82．5％，两组比较差异有统计学意义（χ2＝8．41 ；P＜0．01）±俯卧组的PaO2和PaO2/FiO2分别为（77．24±9．56），（171．25±31.13）mmHg，均高于仰卧组的（67．52±8．61），（143．26±26．34）mmHg，差异有统计学意义（t分别为2．16，2．14；P＜0．05）±俯卧组的上机时间、住院时间、氨茶碱使用时间分别为（3．65±2．01），（28．25±3．98），（10．82±9．08）d；均低于仰卧组的（4．83±3．51），（30．14±12．61），（12．2±9．37）d，差异有统计学意义（t分别为0．23，1．96，2．37；P＜0．05）。结论鼻塞持续气道正压通气早产儿采取俯卧位时，可改善氧合、提高PaO2和氧合指数，并可减少呼吸暂停的发生，缩短上机和使用氨茶碱时间，减少气管插管机械通气的需要，减少住院时间，减少住院费用，减轻家长的经济负担。
Objective The aim of this study is to assess the effect of nasal continuous positive airway pressure （ NCPAP） in prone position on the treatment of the premature infants with apnea .Methods Totals of 80 premature infants treated with NCPAP in the NICU from January to December , 20±2 were observed . According to the random number table method , the premature infants were divided into prone position group and supine position group . Each group was treated with NCPAP and aminophylline , and relevant nursing intervention.The changes of their frequencies of apnea , PEEP, FiO2 , PaO2 , and PaCO2 , etc.were observed and compared.Results The effective rate of the prone group was 9±.5% and the effective rate of the supine group was 82.5%.The difference was significant （χ2 =8.4±, P±lt±0.05）.The PaO2 and PaO2/FiO2 in the prone group were （77.24±9.56）,（171.25±31.13）mmHg, respectively, which were higher than （67.52±8.61）,（143.26±26.34）mmHg in the supine group.The differences were significant （t =2.16, 2.14, respectively;P〈0.05）.The time of ventilation, hospital stays and use of aminophylline were （3.65±2.01）,（28.25±3.98）,（10.82±9.08）d, which were lower than （4.83±3.51）,（30.14±12.61）,（12.2±9.37）d in the supine group, the differences were significant （t=0.23, 1.96, 2.37, respectively;P〈0.05）. Conclusions Compared with the traditional supine position , treating the neonate with NCPAP in prone position can not only improve their oxygenation , PaO2 and oxygenation indexes , but also reduce the risk of apnea , as well as shortening the time of ventilation and using of aminophylline .It also reduces the treatment of intubation and ventilation, and relieves the financial burden of hospitalization on the infant ’ parents.
出处
《中华现代护理杂志》
2014年第12期1365-1367,共3页
Chinese Journal of Modern Nursing
基金
温州2012年科技计划项目（Y20120220）
关键词
俯卧位
连续气道正压通气
呼吸暂停
早产儿
Prone position
Nasal continuous positive airway pressure
Apnea
Premature infants
