摘要
目的探讨肺脏超声动态监测在新生儿重症肺炎肺实变精准化护理中的应用效果。方法选取昆明市儿童医院新生儿重症监护室(neonatal intensive care unit,NICU)科室诊断有重症肺炎的新生儿60例进行研究,以随机数字表法进行分组,分为对照组和实验组各30例,对照组按照新生儿常规护理进行护理,实验组在常规护理的基础上进行床旁超声的动态监测,并对超声发现的肺实变施以精准化的护理措施。观察2组患儿临床呼吸道症状消失的时间、危重症病例呼吸机撤机时间、平均住院日。结果在床旁超声动态监测下施以精准化护理措施的肺实变患儿在呼吸道症状消失时间、平均住院日、危重病例撤机时间均短于常规护理组(P<0.05)。结论肺脏超声能动态监测可以实时了解肺部病变的性质、大小、位置、病变的严重程度,对肺部病变部位施以精准化护理措施后,可以及时了解干预后的效果,并指导下一步护理措施,可以有效提升治疗的效果,操作简单,值得推广。
Objective To explore the application effect of dynamic monitoring of lung ultrasound in precision nursing care of severe neonatal pneumonia with pulmonary consolidation.Methods 60 newborns diagnosed with severe pneumonia in the Neonatal Intensive Care Unit(NICU)of Kunming Children’s Hospital were selected for the study.They were randomly divided into a control group and an experimental group,with 30 cases in each group.The control group received routine nursing for newborns,while the experimental group received dynamic monitoring of bedside ultrasound in addition to routine nursing.Precise nursing measures were implemented based on the ultrasound findings of lung consolidation.The time for clinical respiratory symptoms to disappear,the time for extubation in critically ill cases,and the average length of hospital stay were analyzed in both groups.Results In the lung consolidation patients who received precise nursing measures based on dynamic monitoring of bedside ultrasound,the time for respiratory symptoms to disappear,the average length of hospital stay,and the time for extubation in critically ill cases were all shorter than those in the control group(P<0.05).Conclusion Lung ultrasound dynamic monitoring can provide real-time information about the nature,size,location,and severity of lung lesions.After implementing precise nursing measures for lung lesions,it is possible to timely assess the intervention effect and guide the next nursing measures,thus effectively improving the treatment outcomes.Lung ultrasound is easy to operate and worth promoting.
作者
尹丽娟
宝凌云
王芳
袁媛
YIN Lijuan;BAO Lingyun;WANG Fang;YUAN Yuan(Dept.of Neonatology,Kunming Children’s Hospital,Kunming Yunnan 650034;School of Nursing,Dali University,Dali Yunnan 671003,China)
出处
《昆明医科大学学报》
CAS
2023年第10期202-206,共5页
Journal of Kunming Medical University
基金
云南省教育厅科学研究基金资助项目(2023J0382)
昆明市卫生健康委员会卫生科研基金资助项目(2022-14-04-001)。
关键词
肺脏超声
危重新生儿
肺实变
精准护理
Lung ultrasound
Neonate in critical condition
Lung consolidation
Precise nursing
