袋鼠式护理对无创机械通气早产儿呼吸功能的影响

目的 探讨袋鼠式护理对无创机械通气早产儿呼吸功能的影响.方法 将64例无创机械通气的早产儿随机分为对照组和干预组各32例.对照组实施常规护理,干预组在对照组基础上实施袋鼠式护理.比较两组早产儿生理指标,撤机后24 h内的血气分析值,撤机后7d内的撤机失败率及无创呼吸机带机时间.结果 干预组在第1、3、5、7天实施袋鼠式...

The effect of kangaroo mother care on respiratory function of premature infants on noninvasive ventilation

Objective To explore the effect of kangaroo mother care on respiratory function of premature infants on noninvasive ventilation.Methods Sixty-four preterm infants on noninvasive ventilation were randomized into a control group and an intervention group of 32,receiving either routine care or additional kangaroo mother care respectively.Physiological indexes,blood gas indexes within 24 h of withdrawal of ventilation,rate of ventilator withdrawal failure within 7 days,and duration of ventilation were compared between the two groups.Results The respiratory rates and heart rates at the first,third,fifth,and seventh day were significantly lower,whereas SpO₂ was significantly higher in the intervention group receiving kangaroo mother care for 2 h than the control group(P<0.01 for all).The PaCO₂ value was significantly lower,whereas the PaO₂ and SaO₂ values were significantly higher in the intervention group compared with the control group within 24 h of withdrawal of ventilation(P<0.05,P<0.01).The intervention group had shorter ventilation duration compared with the control group(P<0.05).Conclusion Kangaroo mother care can enhance oxygenation and respiratory function of premature infants on noninvasive ventilation and shorten ventilation duration.