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目的:探讨基于俯卧位的舒适护理辅助咖啡因治疗早产儿原发性呼吸暂停的临床价值。方法:将244例在新生儿重症监护室住院的患有原发性呼吸暂停的早产儿患者随机分为两组,两组患者均行咖啡因治疗,其中研究组A采用基于俯卧位的舒适护理;对照组B采用常规护理。比较两组不同的护理方式治疗早产儿原发性呼吸暂停的临床有效率和该症状的发作时间、次数及呼吸暂停消失时间。结果:研究组A治疗早产儿呼吸暂停的有效率明显优于对照组B(x~2=4.47,P<0.05);同时研究组A治疗早产儿呼吸暂停的发作时间、发作次数以及消失时间均明显小于对照组B(P<0.05)且两组数据均具有统计学意义。结论:基于俯卧位的舒适护理能够明显提高治疗早产儿原发性呼吸暂停的临床有效率,同时减少患儿的发作时间、发作次数及症状消失时间,可在临床中推广应用。
Objective: To investigate the clinical value of comfort-assisted caffeine based on prone position in the treatment of premature infants with primary apnea. Methods: A total of 244 preterm infants with primary apnea who were hospitalized in neonatal intensive care unit were randomly divided into two groups. Patients in both groups were given caffeine. Study group A used comfort care based on prone position ; Control group B using routine care. The clinical efficacies of two groups of different nursing methods in treating premature infants with primary apnea and the onset time, frequency and apnea time of the symptoms were compared. Results: The effective rate of apnea in treatment group A was significantly higher than that of control group B (x ~ 2 = 4.47, P <0.05). At the same time, the onset time, number of episodes and disappearance time of apnea in treatment group A Was significantly smaller than that of control group B (P <0.05), and the data of two groups were statistically significant. Conclusion: Comfortable care based on prone position can significantly improve the clinical efficacy of treatment of primary apnea in preterm infants, while reducing the onset time of children, the number of seizures and the disappearance of symptoms, which can be widely used in clinical practice.