摘要
目的 分析体位管理在新生儿无创通气中的应用效果观察。方法 选择2023年1月-2024年1月期间在我院接受无创通气治疗的新生儿100例为研究对象，将2023年1月-2023年6月的50例患儿作为对照组（采取仰卧位管理措施）；将2023年7月-2024年1月的50例患儿作为观察组（采取俯卧位管理措施），比较两组的临床治疗效果。结果 观察组新生儿三凹征发生次数与呼吸暂停次数均低于对照组（P＜0.05）。观察组新生儿的血氧饱和度水平高于对照组（P＜0.05）。观察组新生儿无创通气时间与住院时间均短于对照组（P＜0.05）。观察组新生儿并发症发生率低于对照组（P＜0.05）。结论 在对接受无创通气治疗的新生儿实施俯卧位管理措施取得明显效果，显著改善新生儿的血氧饱和度水平，减少三凹征与呼吸暂停次数，降低并发症发生率，缩短无创通气时间与住院时间，有较高应用价值。
关键词： 体位管理；新生儿无创通气；仰卧位管理；俯卧位管理
Abstract
Objective Observation of the application effect of position management in non-invasive ventilation of newborns. Methods Select 100 newborns who received non-invasive ventilation treatment in our hospital from January 2023 to January 2024 as the research subjects, and 50 newborns from January 2023 to June 2023 as the control group (with supine management measures); Fifty pediatric patients from July 2023 to January 2024 will be selected as the observation group (with prone position management measures), and the clinical treatment effects of the two groups will be compared. Results The incidence of three concave signs and respiratory pauses in the observation group of newborns were lower than those in the control group (P<0.05). The blood oxygen saturation level of the observation group newborns was higher than that of the control group (P<0.05). The non-invasive ventilation time and hospitalization time of the observation group were shorter than those of the control group (P<0.05). The incidence of neonatal complications in the observation group was lower than that in the control group (P<0.05). Conclusion The implementation of prone position management measures for newborns receiving non-invasive ventilation treatment has achieved significant results, significantly improving the blood oxygen saturation level of newborns, reducing the frequency of triple concave sign and respiratory pauses, reducing the incidence of complications, shortening non-invasive ventilation time and hospitalization time, and has high application value.
Key words： Position management; Non invasive ventilation for newborns; Supine position management; Prone position management
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