头高侧卧位护理在新生儿胃食管反流中的应用效果.pdf

中国当代医药 2015年6月第22卷第 16期 窑护理研究 窑 头高侧卧位护理在新生儿胃食管反流中的应用效果 温端仪 周筱钏 沈文仁 赵 琴 陈 媛 邓智敏 广州医学院荔湾医院新生儿科袁广州 510175 [摘要] 目的探讨头高侧卧位护理在新生儿胃食管反流中的应用效果遥 方法选取本院2012年 1月耀2014年8 月收治的 120例胃食管反流新生儿作为研究对象袁随机分为观察组与对照组袁各60例遥 两组均采用相同的基础 护理袁对照组采用仰卧位护理方法袁观察组采取头高侧卧位护理方法遥 治疗7 d后比较两组的呕吐次数及吸入性 肺炎发生率遥 结果两组护理后的呕吐次数显著低于护理前袁差异有统计学意义渊P约0.05冤遥观察组护理后的呕吐 次数显著低于对照组护理后袁差异有统计学意义渊P约0.05冤遥 观察组的吸入性肺炎发生率显著低于对照组袁差异有 统计学意义渊P约0.05冤遥 观察组的总有效率为95.00%袁显著高于对照组的80.00%袁差异有统计学意义渊P约0.05冤遥 结论 头高侧卧位护理在新生儿胃食管反流中的应用效果显著袁能够减少患儿的呕吐次数袁降低吸入性肺炎发生 率袁值得临床推广应用遥 [关键词] 胃食管反流曰新生儿曰护理方法曰临床效果 [中图分类号] R725.7 [文献标识码]A [文章编号] 1674-4721渊2015冤06渊a冤-0189-03 Application effect of head-raising lateral position nursing in neonatal gas鄄 troesophageal reflux WENDuan-yi ZHOUXiao-chuan SHEN Wen-ren ZHAO Qin CHEN Yuan DENG Zhi-min Departmentof Neonatology,LiwanHospitalof Guangzhou Medical College,Guangzhou 510175,China [Abstract]ObjectiveToexploretheapplicationeffectofhead-raisinglateralpositionnursinginneonatalgastroesophageal reflux. Methods 120 newborns with gastroesophageal reflux in our hospital from January 2012 to August 2014 were selectedandrandomly divided intothe observation group and the control group.The same basic nursingwas provided in two groups.The control group was given supine position of nursing,the observation groupwas given head-raising later position nursing.Frequency of vomiting and the incidence rate of aspiration pneumonia in two groups after 7-day treatment was compared. Results Frequency of vomiting in two groups after nursing was lower than that before nursing, with significant difference (P约0.05).Frequency of vomiting in the observation group after nursing was lower than that in the control group after nursing,with significant diffe