干旱区生态环境知识资源中心(Arid): 系统化急救护理流程在新生儿缺氧缺血性脑病中的应用研究

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	系统化急救护理流程在新生儿缺氧缺血性脑病中的应用研究
其他题名	A study on application of systematic emergency nursing process in neonatal hypoxic ischemic encephalopathy
	黄蕊 1; 李娅 1; 韩晶晶 1; 谷丽彩 1; 张旭辉 2; 张晶 1
来源期刊	中国中西医结合急救杂志
ISSN	1008-9691
出版年	2018
卷号	25 期号:6 页码:574-577
中文摘要	目的研究系统化急救护理流程在新生儿缺氧缺血性脑病(HIE)中的应用效果。方法选择2016年1月至2018年1月在河北医科大学第一医院接受诊治的104例HIE患儿作为观察对象,依据护理方案不同将患儿分为对照组、研究组,每组52例。对照组患儿采用常规的传统急救措施实施复苏抢救;研究组患儿在常规急救基础上接受系统化急救护理流程(包括前期备好抢救药品及设备;全程保温,控制室温在30~32℃;快速评估产妇分娩方式和产程,娩出新生儿并评估一般状况;对患儿实施初步复苏,气管插管机械通气、必要时胸外按压;严密监测患儿生命体征;对症处理;再次评估患儿病情)。比较两组患儿的抢救成功率、总抢救时间、住院时间、复苏前后新生儿Apgar评分及护理质量。结果研究组患儿的抢救成功率高于对照组〔96.2%(50/52)比82.7%(43/52),P<0.05〕,且总抢救时间(min: 8.92.1比12.43.2)、住院时间(d: 8.1 2.2比11.42.9)均短于对照组,差异均有统计学意义(均P<0.05)。复苏后5 min两组新生儿Apgar评分均高于复苏前(分:研究组为8.3 1.1比2.20.7,对照组为6.72.0比2.1 0.9),复苏后5 min研究组Apgar评分高于对照组(分:8.31.1比6.72.0),差异均有统计学意义(均P<0.05)。研究组救护技术(分:5.02.9比2.70.6)、人文关怀(分:5.62.1比2.80.9)、抢救效率(分:5.3 1.2比3.00.6)、抢救效果(分:5.7 1.3比2.90.8)评分均高于对照组,差异均有统计学意义(均P<0.05)。结论系统化急救护理流程能有效提高HIE抢救成功率,缩短总抢救时间及住院时间,增强抢救效果,改善护理质量,值得临床推广。
英文摘要	Objective To study the application effect of systematic emergency nursing process in treatment of neonatal hypoxic ischemic encephalopathy (HIE). Methods One hundred and four neonates with HIE who were treated in the First Hospital of Hebei Medical University from January 2016 to January 2018 were selected as the subjects of this study, and they were divided into a control group and a study group according to different nursing care process, with 52 oases in each group. The infants in the control group were resuscitated according to conventional traditional first aid measures, while the infants in the study group received systematic emergency nursing care process on the basis of routine first aid (including the preparation of early rescue drugs and equipment; warmth kept in the whole course, the room temperature controlled in 30 - 32 ℃; rapid assessment of maternal delivery methods and procedures, delivery of the newborn and assessment of babies general conditions; performance of preliminary resuscitation for neonate, tracheal intubation for mechanical ventilation, and external chest compression if necessary; close monitor of the vital signs of newborn; symptomatic treatment; reassessment of the baby’s disease condition). The successful rescue rate, total rescue time, hospitalization time, neonatal Apgar score and quality of nursing care before and after resuscitation were compared between the two groups. Results The successful rescue rate of the study group was higher than that of the control group [96.2% (50/52) vs. 82.7% (43/52), P < 0.05], and the total rescue time (minutes: 8.92.1 vs. 12.4 3.2) and hospitalization time (days: 8.1 2.2 vs. 11.4 2.9) in study group were shorter than those in control group, all the differences being statistically significant (all P < 0.05). After resuscitation for 5 minutes, the Apgar scores of the newborns in the two groups were higher than those before the resuscitation (study group: 8.3 1.1 vs. 2.2 0.7,control group: 6.7 2.0 vs. 2.1 0.9),and after resuscitation for 5 minutes, the Apgar score of the study group was higher than that of the control group (8.3 1.1 vs. 6.7 2.0),the difference being statistical significant (P < 0.05). The scores of rescue technique (5.0 2.9 vs. 2.7 0.6),humanistic care (5.6 2.1 vs. 2.8 0.9),rescue efficiency (5.3 1.2 vs. 3.0 0.6),and rescue effect (5.7 1.3 vs. 2.9 0.8) in the study group were all higher than those in the control group (all P < 0.05). Conclusion The systematic emergency nursing care process can effectively elevate the successful rescue rate of neonates with HIE, shorten the total rescue time and hospitalization time, enhance the rescue effect, and improve the quality of nursing care, thus it is worthy to be widely applied clinically.
中文关键词	系统化急救护理流程 ; 新生儿 ; 缺氧缺血性脑病 ; Apgar评分 ; 抢救成功率
英文关键词	Systematic emergency nursing care process Newborn Hypoxic ischemic encephalopathy Apgar score Rescue success rate
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL
WOS研究方向	General & Internal Medicine
CSCD记录号	CSCD:6401618
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/238872
作者单位	1.河北医科大学第一医院儿科, 石家庄, 河北 050031, 中国; 2.石家庄市第一医院儿科, 石家庄, 河北 050011, 中国
推荐引用方式 GB/T 7714	黄蕊,李娅,韩晶晶,等. 系统化急救护理流程在新生儿缺氧缺血性脑病中的应用研究[J],2018,25(6):574-577.
APA	黄蕊,李娅,韩晶晶,谷丽彩,张旭辉,&张晶.(2018).系统化急救护理流程在新生儿缺氧缺血性脑病中的应用研究.中国中西医结合急救杂志,25(6),574-577.
MLA	黄蕊,et al."系统化急救护理流程在新生儿缺氧缺血性脑病中的应用研究".中国中西医结合急救杂志 25.6(2018):574-577.