摘要
目的探讨肺表面活性物质(固尔苏)联合鼻塞式持续气道正压通气(NCPAP)对新生儿呼吸窘迫综合征(NRDS)的疗效及其相关护理策略。方法选取本院2012年1月至2013年12月收治的58例NRDS患儿并随机分为两组各29例,对照组行机械通气+固尔苏治疗,观察组行NCPAP+固尔苏治疗,两组患儿治疗期间均给予新生儿儿科常规性护理,观察两组患儿的病情转归及预后情况。结果观察组患儿抢救成功率为89.66%、死亡率为10.34%,对照组分别为75.86%、24.14%,两组比较P<0.05。观察组患儿机械通气时间、住院时间、家属满意度评分显著优于对照组(P<0.05)。结论固尔苏与NCPAP治疗NRDS效果显著,在治疗期间给予患儿科学、全面的护理可提高患儿预后,缩短患儿住院时间,提高患儿家属满意度。
Objective To investigate the effectiveness and related nursing strategy of pulmonary surfactant （curosurf） combined with nasal continuous positive airway pressure （NCPAP） for the treatment of neonatal respiratory distress syndrome （NRDS）. Methods 58 cases of NRDS were randomly divided into two groups, with 29 cases in each group. The control group was treated with mechanical ventilation combined with curosurf, while the observation group was treated with NCPAP combined with curosurf. All cases received routine care of neonatology department. The disease outcome and prognosis were observed. Results The success rate and death rate were 89.66% and 10.34% of observation group, and 75.86% and 24.14% of control group, and the differences between two groups were statistically significant （P 〈0.05）. The observation group was superior to the control group in duration of mechanical ventilation, length of stay and families＇ satisfaction scores （P 〈0.05）. Conclusions The combination therapy of curosurf and NCPAP has significant effect for the treatment of NRDS. Scientific and comprehensive care can improve the prognosis, shorten hospital stay and improve satisfaction of families of neonates.
出处
《临床医学工程》
2014年第7期927-928,共2页
Clinical Medicine & Engineering
关键词
肺表面活性物质
鼻塞式持续气道正压通气
呼吸窘迫综合征
护理
Pulmonary surfactant
Nasal continuous positive airway pressure （NCPAP）
Respiratory distress syndrome
Nursing
