綜合護理在頻發呼吸暫停早產兒護理中的應用價值

劉麗華 胡燕玲 陳雪梅 吳潔麗

[摘要]目的 總結綜合護理在頻發呼吸暫停早產兒護理中的應用價值。方法 選擇2014年4月～2017年7月我院兒科收治的頻發呼吸暫停早產兒60例臨床資料予以回顧性分析，所有患兒均行統一綜合治療，依據護理方案不同分為兩組，對照組30例行常規護理，實驗組30例在對照組基礎上加入綜合護理干預，比較兩組護理干預效果。結果 干預后，實驗組患兒總有效率明顯高于對照組（93.33% vs.70.00%），差異有統計學意義（P<0.05）；由日呼吸暫停發生頻率、持續時間、需額外刺激比率、氨茶堿使用時間、吸氧時間、需持續正壓通氣時間等指標，實驗組指標均明顯低于對照組（P<0.05）；干預后，實驗組患兒經皮血氧飽和度、心率等指標水平明顯高于對照組，差異均有統計學意義（P<0.05）。結論 綜合護理干預應用于頻發呼吸暫停早產兒中確可獲得較好效果，有助于減少呼吸暫停發生頻率，減輕發作程度，改善患兒臨床癥狀，進一步提升患兒生存質量，具有臨床推廣應用價值。

[關鍵詞]綜合護理；頻發呼吸暫停；早產兒；應用價值

[中圖分類號] R473.72 [文獻標識碼] A [文章編號] 1674-4721（2018）5（c）-0195-03

Application value of comprehensive nursing care in premature infants with frequent

LIU Li-hua HU Yan-ling CHEN Xue-mei WU Jie-li

Department of Pediatrics，Pengpai Memorial Hospital of Haifeng county，Guangdong Province，Haifeng 516400，China

[Abstract]Objective To summarize the value of comprehensive nursing in the nursing of premature infants with frequent apnea.Methods From April 2014 to July 2017，the clinical data of 60 cases in our hospital admitted to the frequent episodes of apnea were retrospectively analyzed，both groups underwent unified comprehensive treatment，according to the different points of care programs，all patients were divided into the two groups，the control group of 30 patients were used routine nursing，on the basis of the control group，the comprehensive nursing intervention were used in experimental group of 30 patients.The two groups of nursing intervention effect were compared.Results After intervention，the total effective rate of experimental group was significantly higher than that of control group （93.33% vs.70.00%），the difference was statistically significant（P<0.05）.The frequency，duration，the indicators of additional stimulation rate，aminophylline use time，oxygen inhalation time and continuous positive pressure ventilation duration，the data of the experimental group were significantly lower than those of the control group （P<0.05）.After intervention，the transcutaneous blood，oxygen saturation，heart rate and other indicators of the experimental group were significantly higher than the control group，the differences were also statistically significant （P<0.05）.Conclusion The comprehensive nursing intervention applied to frequent premature infants with prolonged sleep apnea can get better results，which can help reduce the frequency of apnea，reduce the degree of attack，improve clinical certificates in children，to further improve the quality of life of children with clinical promotion value.

[Key words]Comprehensive care；Frequent apnea；Premature children；Application value

早產兒呼吸暫停（AOP）屬于早產兒常見臨床癥狀，指的是患兒呼吸停止超過20 s，或伴有心動過緩、低氧血癥、發紺等合并癥狀。據一項調查顯示，以出生體重<1800 g，或胎齡<34周早產兒，AOP發生率為25.0%左右，且出生體重<1000 g早產兒，幾乎均伴有呼吸暫停表現[1]。現階段的治療以綜合干預為主，而護理措施的是否有效是臨床治療效果的基礎保障，這在近年來的報道中也得以相繼證實[2]。本研究選擇我院兒科收治的頻發呼吸暫停早產兒60例臨床資料予以回顧性分析，總結綜合護理在頻發呼吸暫停早產兒護理中的應用價值，現報道如下。

1資料與方法

1.1一般資料

選擇2014年4月～2017年7月我院兒科收治的頻發呼吸暫停早產兒60例臨床資料予以回顧性分析。納入標準：本組患兒臨床癥狀均符合我國對早產兒原發性呼吸暫停的診斷標準[3]；本研究內容獲得我院醫學倫理委員會批準，患兒家屬均知情并自愿簽署同意書。……