循证护理在机械通气治疗新生儿呼吸衰竭中的应用效果

摘要

目的：探讨循证护理措施在机械通气治疗新生儿呼吸衰竭中的应用效果。方法：给予51例患儿机械通气治疗，其中25例采用双水平气道正压通气（BIPAP）模式，26例采用同步间歇指令通气（SIMV）+压力控制通气（PCV）模式。治疗期间给予循证护理，即采用循证护理-循证支持-循证评价-循证应用步骤。观察机械通气治疗前、治疗24小时动脉血气分析变化。结果：治疗24小时后，新生儿PaCO2、PO2、PH明显改善(P＜0.05)。结论：在采用机械通气治疗新生儿呼吸衰竭的同时给予循证护理，可明显改善动脉血气相关指标。%Objective:To survey the roles of evidence-based nursing (EBN) played in the treatment for neona-tal respiratory failure by mechanical ventilation. Methods:All 51 cases were treated by mechanical ventilation, a-mong them, 25 cases adopted the mode of bi-level airway positive airway pressure (BIPAP), 26 cases the modes of synchronized intermittent mandatory ventilation (SIMV) and pressure controlled ventilation (PCV). During therapeu-tic period, they were given with EBN, that is, EBN-evidence-based support-evidence-based evaluation-evi-dence-based application steps. The changes of arterial blood gas (ABG) analysis and clinical effects were observed before treating and in 24 hours after treating. Results:In 24 hours after treating, neonatal PaCO2, PO2 and PH were notably improved (P<0.05). Conclusion:EBN is given to the neonate suffering from respiratory failure treated by mechanical ventilation, it could obviously improve the results of ABG and obtain satisfactory effects.