摘要
目的研究动态气囊内压力监测联合专项呼吸道强化干预在婴幼儿法洛四联症术后护理中的应用效果。方法前瞻性选取2021年1月至2022年12月河南省人民医院儿童心脏中心重症监护室收治的86例婴幼儿法洛四联症术后机械通气患儿为研究对象,根据随机数字表法分为观察组(43例)与对照组(43例),对照组接受常规护理干预,观察组在此基础上接受动态气囊内压力监测联合专项呼吸道强化干预。比较两组患儿术后恢复情况(机械通气时间、术后监护时间、住院时间)、呼吸系统相关并发症发生情况;比较两组干预前后血气指标[血氧饱和度(SpO_(2))、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))];比较两组术后48 h儿童疼痛行为量表(FLACC);比较两组出院当天生存质量[儿童生存质量测定量表系列心脏病模块(PedsQLTM 3.0)家长问卷]。结果观察组机械通气时间、术后监护时间、住院时间均短于对照组(P<0.05);观察组呼吸系统相关并发症总发生率低于对照组(P<0.05)。干预后,两组患儿SpO_(2)、PaO_(2)水平升高(P<0.05),且观察组高于对照组(P<0.05);两组患儿PaCO_(2)水平降低(P<0.05),且观察组低于对照组(P<0.05)。术后48 h,观察组表情、肢体动作、行为维度评分比较差异无统计学意义(P>0.05),观察组哭闹、可安慰性、FLACC总分低于对照组(P<0.05);出院当天,观察组PedsQLTM 3.0家长问卷各维度评分高于对照组(P<0.05)。结论动态气囊内压力监测联合专项呼吸道强化干预有助于改善婴幼儿法洛四联症术后动脉血气水平,降低呼吸系统相关并发症发生率,提高患儿短期生存质量。
Objective To study the application effects of dynamic airbag pressure monitoring combined with special respiratory intensive intervention in the postoperative nursing of tetralogy of Fallot in infants.Methods A total of 86 children with mechanical ventilation after surgery for tetralogy of Fallot admitted to pediatric cardiac intensive care unit of the hospital from January 2021 to December 2022 were prospectively selected as the study subjects,and were divided into observation group(43 cases)and control group(43 cases)according to the random number table method.The control group received routine nursing intervention,and the observation group received dynamic airbag pressure monitoring combined with special respiratory intensive intervention on this basis.The postoperative recovery(mechanical ventilation time,postoperative monitoring time,hospital stay)and occurrence of respiratory system-related complications,blood gas indicators[oxygen saturation(SpO_(2)),arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2))]before and after intervention,face,legs,activity,cry,consolability behavioral tool(FLACC)at 48 hours after surgery and quality of life on the day of discharge[pediatric quality of life inventory measurement model(PedsQLTM 3.0)parent questionnaire]were compared between the two groups.Results The mechanical ventilation time,postoperative monitoring time and hospital stay in observation group were shorter than those in control group(P<0.05).The total incidence rate of respiratory system-related complications was lower in observation group than that in control group(P<0.05).After intervention,the SpO_(2)and PaO_(2)in both groups were increased(P<0.05),and the indicators in observation group were higher than those in control group(P<0.05).PaCO_(2)in the two groups was decreased(P<0.05),and the indicator in observation group was lower than that in control group(P<0.05).At 48 hours after surgery,there were no statistically significant differences in expression,body movement and behavior scores(P>0.05),and the scores of crying and consolability and total score of FLACC were lower in observation group than those in control group(P<0.05).On the day of discharge,the scores of dimensions of PedsQLTM 3.0 parent questionnaire in observation group were higher than those in control group(P<0.05).Conclusion Dynamic airbag pressure monitoring combined with special respiratory intensive intervention can help improve the arterial blood gas level in children after surgery for tetralogy of Fallot,reduce the incidence rates of respiratory system-related complications,and enhance the short-term quality of life.
作者
孙倩
张媛媛
范太兵
杨巧芳
庞秋贺
胡朋鹤
SUN Qian;ZHANG Yuanyuan;FAN Taibing;YANG Qiaofang;PANG Qiuhe;HU Penghe(Intensive Care Unit,Children’s Heart Center of Henan Provincial People’s Hospital,Zhengzhou 450000,China;Department of Nursing,Children’s Heart Center of Henan Provincial People’s Hospital,Zhengzhou 450000,China;Huazhong Fuwai Hospital/Huazhong Fuwai Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2024年第4期679-683,共5页
Henan Medical Research
基金
河南省医学科技攻关计划联合共建项目(LHCJ20210132)。
关键词
动态气囊内压力监测
专项呼吸道强化干预
婴幼儿法洛四联症
dynamic airbag pressure monitoring
special respiratory intensive intervention
tetralogy of fallot in infants
