重症新生儿肺炎的急救措施及护理方法

目的探讨重症新生儿肺炎的急救措施及护理方法。方法选择2011年12月～2013年10月西安市儿童医院收治的36例重症新生儿肺炎患儿为研究对象,对所有患儿实施有针对性的急救措施及护理方法,评价其治疗前后肺活量（VC）、深吸气量（IC）、补呼气量（ERV）、最大肺活量（FVC）、每分钟最大通气量（MVV）、第1秒用力呼气量（FEV1）、1秒率（FEV1/FVC）及峰流速（PEF）等指标的变化。结果 36例患儿的VC、IC、ERV、FVC、MVV、FEV1、FEV1/FVC均由急救措施和护理方法实施前的（1.6±0.1）L、（1.0±0.3）L、（0.5±0.2）L、（1.6±0.8）L、（54.1±24.0）L、（1.4±0.7）L、（1.6±0.1）L/s及（1.0±0.3）%上升至实施后的（2.6±0.6）L、（1.6±0.3）L、（0.9±0.2）L、（2.3±0.7）L、（70.5±23.5）L、（2.0±0.5）L、（2.6±0.4）L/s及（1.6±0.3）%,各指标均明显优于急救前,差异均有统计学意义（P〈0.05）。结论重症新生儿肺炎采用有针对性的急救措施及护理方法,可提高急救成功率,改善治疗效果,具有临床推广价值。

Investigation of first-aid measures and nursing of newborns with severe pneumonia

Objective To investigate the first-aid measures and nursing of newborns with severe pneumonia. Methods36 cases of newborns with severe pneumonia from December 2011 to October 2013 in Children＇s Hospital of Xi＇an City were selected as study objects, all the newborns were given the targeted first-aid and nursing. The vital capacity（VC）,inspiratory capacity（IC）, expiratory reserve volume（ERV）, peak vital capacity（FVC）, maximum voluntary ventilation（MVV）, first second forced expiratory volume（FEV1）, first second ratio（FEV1/FVC） and the peak flow（PEF） before and after the implementation of first-aid measures and nursing were compared. Results The VC, IC, ERV, FVC, MVV,FEV1, FEV1/FVC and PEF of the 36 cases of newborns after implementation of the first-aid measures and nursing（2.6±0.6） L,（1.6±0.3） L,（0.9±0.2） L,（2.3±0.7） L,（70.5±23.5） L,（2.0±0.5） L,（2.6±0.4） L/s and（1.6±0.3）%] were better than those before the implementation （1.6±0.1） L,（1.0±0.3） L,（0.5±0.2） L,（1.6±0.8） L,（54.1±24.0） L,（1.4±0.7） L,（1.6±0.1） L/s and（1.0±0.3）%], the differences of two groups were statistically significant（P〈0.05）. Conclusion Targeted first-aid measures and nursing for newborns with severe pneumonia have clinical practice significance for improving the success rate in first aid and the treatment effect.