新生儿科收治的极低体重比例分析

新生儿科收治的极低体重比例分析 因为早产儿各器官发育不完善及生理功用未成熟，出世 后对外界环境适应才能及抗病才能均比足月儿差。特别 是呼吸系统发育不完善，肺表面活性物质缺少，易导致呼 吸功用不全而需运用机械通气医治，有用的气道看护是 机械通气成功与否的要害。现将本院重生儿科86例施行 机械通气的极低体重儿两种不一样的气道办理作用进行 总结剖析，并报导 Because of the imperfect and immature development of physiological function of organs after the birth of premature infants, to adapt to the external environment and disease- resistant ability than full-term difference. Especially the respiratory system development is not perfect, the lack of pulmonary surfactant, easily lead to respiratory insufficiency and require the use of mechanical ventilation in the treatment of airway nursing, useful mechanical ventilation is successful crucial. The pediatric rebirth our hospital 86 cases of very low birth weight infants underwent mechanical ventilation for two different types of airway function were analyzed, and reported 1材料与办法 新生儿科收治的极低体重比例分析 1 materials and methods 1.1通常材料 1.1 usually materials 挑选2008年1月2010 年12月重生儿科收治的极低体重 儿86例作为调查目标，其间，男46例，女40例；胎龄2832 周；出世体重1 000 g 的35例，体重1 0001500 g 的51例； 患儿原发病：胎粪吸入综合征20例、重症肺炎36例、肺透 明膜病20例、感染性休克10例。在患儿家族知情赞同的状 况下，分为调查组和对照组，其间，2008年1月2009年6月 为对照组，2009年7月2010年12月为调查组，两组患儿性 别构成、胎龄散布、出世体重、原发病等通常材料经统计 学剖析比拟，P0.05 ，区别无统计学含义，提示研究成果 具有可比性。 Selected in 2008 January 2010 years of very low birth weight infants born in December 86 patients admitted to pediatric as investigation target, meanwhile, male 46 cases, female 40 cases; gestational age 2832 weeks; birth weight 0.05 no statistical meaning, distinction, suggests research results have comparability. 1.2 办法 The 1.2 way 1.2.1 两组患儿按重生儿科看护惯例专人看护，做好 病况调查，疾病全过程用心电、呼吸、血压及经皮氧饱和 度（TcSO2）继续监护，并给予保暖、养分撑持、防止感染、 加强根底看护、机械通气给予呼吸撑持。机械通气时两组 患儿均选用“Drag”婴儿呼吸机，选用直径为2.53.0 mm 的 RscH 气管导管经口插管，024 h 熟行机械通气，通气 办法为“SIMV 加 PEEP”，呼吸参数的调 理一样疾病共同； 气道办理中吸痰的间隔时刻与办法、气道湿化的办法两 组患儿共同。 1.2.1 two groups of children with pediatric nursing care 新生儿科收治的极低体重比例分析 according to the rebirth of practice, good condition survey, the whole process of ECG, respiratory diseases, blood pressure and blood oxygen saturation ( TcSO2 ) continue to care, and give a warm, nutrition support, prevent infection, strengthen basic care, mechanical ventilation for respiratory support. Mechanical ventilation of patients in two groups were chosen “Drag “ infant ventilator, choose a diameter of R scH tracheal catheter 2.53.0 mm orotracheal intubation, 024 h cooked mechanical ventilation, ventilation measures for “ SIMV PEEP “, respiratory parameters conditioning diseases like common; airway suction interval time and methods, the management of sputum airway humidification way two groups together. 1.2.2 对照组：患儿取仰卧位；惯例的手叩法叩背； 呼吸机管道用“84”消毒液浸泡消毒后晒干备用。调查 组：患儿体位采纳仰卧位、俯卧位、侧卧位替换替换， 仰卧时在背下放置重生儿血压计袖带，接心电监护仪，每 隔0.51.0 h 主动充气再放气，重复操作以影响患儿；吸 痰前1520 min 用复苏囊小号面罩叩击患儿背部，叩打速 度100120次/min，每肺叶叩击、振荡1 min，继续时刻不 超越5 min，力气均匀合适； 呼吸机管道消毒选用全主 新生儿科收治的极低体重比例分析 动清洁机清洁消毒后装在无菌薄膜袋中备用。 1.2.2 group:infants in supine position; the usual hand percussion percussion on back; the ventilator tube with “ 84 “ after the sun alternate immersion disinfection. Investigation group: children adopted supine position, prone position, lateral position replaced, supine placement of newborn blood pressure cuff in the back, then the ECG monitor, every 0.51.0 h active inflation and deflation, repetitive operation to influence the children; the suction of 1520 min recovery capsule s mask percussion children back, percussion speed 100120 /min, each lobe percussion, oscillation of 1 min, continue time does not exceed 5 min, strength uniform; disinfection of ventilator pipe used full automatic cleaning machine cleaning and disinfection after loading spare in aseptic bags. 1.3调查目标 1.3 investigation object 1.3.1 每天桡动脉穿刺采血做动脉血气剖析，调查两 组患儿动脉血气剖析成果。 1.3.1 every radial artery puncture arterial blood gas analysis, 新生儿科收治的极低体重比例分析 investigation of two groups of children with blood gas analysis results of artery. 1.3.2 调查两组患儿心率（HR）、经皮氧饱和度 （TcSO2）、24 h 发绀的均匀次数、24 h 呼吸暂停的均匀次 数、机械通气的时刻、呼吸道感染率及两组患儿治好和逝 世的状况。 1.3.2 survey of two groups of children with heart rate ( HR ), percutaneous oxygen saturation ( TcSO2 ), uniform number, 24 h cyanosis 24 h apnea uniform number, mechanical ventilation time, the infection rate of respiratory tract and two patients cured and died in. 1.4 统计学剖析 1.4 statistical analysis 运用统计学软件 SPSS 12.0树立数据库，进行统计剖 析。选用组间对照办法，计数材料用 t 查验，率的比拟用 2查验，以 P0.05为区别有统计学含义。 The use of statistical software SPSS 12 to establish t