摘要
目的 分析小儿重症肺炎并发呼吸衰竭时实施综合护理干预对其治疗总有效率的影响。方法 纳入本院收治共94例小儿重症肺炎并发呼吸衰竭患儿（时段2023年6月~2024年6月），共随机划分2组各47例。对照组采取常规护理，观察组采取综合护理干预。对比2组患儿在血气分析指标、治疗效果评估结果的差异。结果 观察组干预后动脉氧合指数（SaO2）、氧分压（PaO2）相比对照组增加，二氧化碳分压（PaCO2）相比对照组减少（P＜0.05）。观察组治疗总有效率相比对照组提高（P＜0.05）。结论 小儿重症肺炎并发呼吸衰竭时实施综合护理干预，可改善血气分析指标，提高治疗总有效率。
关键词： 小儿重症肺炎；呼吸衰竭；综合护理干预
Abstract
Objective To analyze the effect of comprehensive nursing intervention on the overall treatment efficacy of pediatric severe pneumonia complicated with respiratory failure. Methods A total of 94 children with severe pneumonia complicated with respiratory failure admitted to our hospital (period from June 2023 to June 2024) were randomly divided into two groups, with 47 cases in each group. The control group received routine nursing care, while the observation group received comprehensive nursing intervention. Compare the differences in blood gas analysis indicators and treatment efficacy evaluation results between two groups of pediatric patients. After intervention, the arterial oxygenation index (SaO2) and partial pressure of oxygen (PaO2) in the observation group increased compared to the control group, while the partial pressure of carbon dioxide (PaCO2) decreased compared to the control group (P<0.05). The total effective rate of the observation group was higher than that of the control group (P<0.05). Conclusion Comprehensive nursing intervention can improve blood gas analysis indicators and enhance the overall treatment efficacy in children with severe pneumonia complicated by respiratory failure.
Key words： Severe pneumonia in children; Respiratory failure; Comprehensive nursing intervention
参考文献 References
[1] 张会永,郭长根,祁亚平. 早期持续气道正压通气在小儿重症肺炎合并呼吸衰竭救治中的应用[J]. 四川解剖学杂志,2024,32(2):11-13.
[2] 杨莉,彭璐,康路花,等. 基于气道内雾化吸入的护理模式在呼吸机辅助治疗小儿重症肺炎合并呼吸衰竭中的应用效果[J]. 中国当代医药,2023,30(28):184-188.
[3] 王灵珊,张国庆,龚莛子. "3H"规范化护理服务模式在小儿重症肺炎合并呼吸衰竭中的应用[J]. 当代护士,2021, 28(7): 49-51.
[4] 王艳艳. PEWS评分的护理干预在急诊儿科重症肺炎合并呼吸衰竭患儿中的应用观察[J]. 首都食品与医药,2020, 27(21):157.
[5] 王雅静,范丽莉,焦鸿虹. 小儿病情预警评分方案模式下的护理策略在重症肺炎合并呼吸衰竭患儿中的应用[J]. 四川生理科学杂志,2022,44(8):1396-1397,1340.
[6] 桂先童. 急救护理联合早期持续气道正压通气干预小儿重症肺炎合并急性呼吸衰竭效果讨论[J]. 妇幼护理,2024, 4(18):4346-4348.
[7] 范园园,周晓利. 规范化护理服务模式在小儿重症肺炎合并呼吸衰竭中的应用效果观察[J]. 医药前沿,2024,14(24): 104-106.
[8] 程智丽,李娜. 小儿重症肺炎合并呼吸衰竭的急诊急救护理措施[J]. 健康忠告,2022,16(22):160-162.
[9] 赵改霞. PEWS评分的针对性护理干预在重症肺炎合并呼吸衰竭患儿中的应用观察[J]. 首都食品与医药,2020, 27(21):135-136.
[10] 郭娇,张洁琼. 优质护理模式在NCPAP治疗儿童重症肺炎合并呼吸衰竭中的应用效果观察[J]. 贵州医药,2022,46 (11): 1834-1835.