摘要
目的探讨循证护理在新生儿呼吸窘迫综合征治疗中的应用效果。方法收集该院2016年4月—2018年4月期间在该院接受治疗的50例新生儿呼吸窘迫综合征患儿资料,按照随机方法将其分为观察组和对照组,分别实施循证护理和常规护理。评价两组新生儿的治疗效果。结果观察组患儿存活率96.00%显著高于对照组76.00%,差异有统计学意义(χ~2=4.152 8,P<0.05);观察组并发症总发生率8.00%显著低于对照组32.00%,差异有统计学意义(χ~2=4.500 0,P<0.05)。干预前,两组患儿氧合指标各项比较差异无统计学意义(t=0.250 8,0.262 1,P>0.05);干预后,观察组患儿PaCO_2(46.36±14.17)mmHg、PaO_2(85.34±22.25)mmHg均显著优于干预前(t=5.3216,5.772 3 P<0.05),对照组患儿PaCO_2(56.82±12.43)mmHg、PaO_2(70.34±28.33)mmHg均显著优于干预前,且观察组显著优于对照组,差异有统计学意义(P<0.05)。结论循证护理的实施可改善新生儿呼吸窘迫综合征的治疗结局,促进氧合功能的恢复,减少并发症,值得推广。
Objective To explore the application effect of evidence-based nursing in the treatment of neonatal respiratory distress syndrome. Methods The data of 50 children with neonatal respiratory distress syndrome who were treated in the hospital from April 2016 to April 2008 were collected. According to the random method, they were divided into observation group and control group. The evidence-based nursing and routine care were implemented respectively. The therapeutic effects of the two groups of newborns were evaluated. Results The survival rate of the observation group was 96.00%, which was significantly higher than that of the control group (76.00%). The difference was statistically significant(χ2 = 4.152 8, P<0.05). The total incidence of complications in the observation group was 8.00%, which was significantly lower than that of the control group (32.00%). The difference was statistically significant (χ^2=4.500 0, P<0.05). Before the intervention, there was no significant difference in the oxygenation index between the two groups (t1= 0.250 8, 0.262 1, P>0.05). After the intervention, the patients in the observation group had PaCO2 (46.36 ± 14.17) mmHg and PaO2(85.34 ±22.25) mmHg was significantly better than before intervention (t=5.321 6, 5.772 3 P<0.05). PaCO2 (56.82±12.43) mmHg and PaO2(70.34±28.33) mmHg were significantly better in the control group than before intervention, and the observation group was significantly better than the control group, the difference was statistically significant. Conclusion The implementation of evidence-based nursing can improve the treatment outcome of neonatal respiratory distress syndrome, promote the recovery of oxygenation function, reduce complications, and is worth promoting.
作者
曹玉琴
CAO Yu-qin(Department of Neonatology,Jianhu Hospital Affiliated to Nantong University,Yancheng,Jiangsu Province,224700 China)
出处
《系统医学》
2018年第23期158-160,共3页
Systems Medicine
关键词
循证护理
新生儿呼吸窘迫综合征
并发症
氧合指标
Evidence-based nursing
Neonatal respiratory distress syndrome
Complications
Oxygenation index
