持续新生儿复苏质量改进联合非营养性吸吮体位管理对早产儿预后的影响
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滑县人民医院

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The impact of continuous improvement in neonatal resuscitation quality combined with management of non-nutritional sucking position on the prognosis of premature infants
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    摘要:

    目的:探究持续新生儿复苏质量改进联合非营养性吸吮体位管理对早产儿预后的影响。方法:回顾性分析2023年6月~12月我院收治的45例接受常规干预的早产儿为对照组;2024年1月~2024年7月收治的45例接受持续新生儿复苏质量改进联合非营养性吸吮体位管理干预的早产儿为观察组。研究旨在评估不同干预方案对早产儿血气指标;Apgar评分;恢复出生体重时长、胃管留置时长以及达全肠道喂养时长;并发症发生率;给氧时长、机械通气时长以及住院时长。结果:干预后观察组新生儿动脉血氧分压(PaO2,Partial Pressure of Oxygen)、动脉血氧饱和度(SaO2,Arterial Oxygen Saturation)显著高于对照组,动脉血二氧化碳分压(PaCO2,Partial Pressure of Carbon Dioxide)明显低于对照组,(P<0.05);观察组Apgar评分明显高于对照组,(P<0.05);观察组早产儿恢复出生体重时长、胃管留置时长以及达全肠道喂养时长均短于对照组,数据差异有统计学意义,(P<0.05);观察组并发症发生率明显较对照组低,(P<0.05);观察组给氧、机械通气以及住院时长相较于对照组均较短,(P<0.05)。结论:应用持续新生儿复苏质量改进联合非营养性吸吮体位的干预方法可显著提升早产儿的血气指标和Apgar评分,缩短恢复出生体重、胃管留置及全肠道喂养周期,降低其并发症发生率,缩短住院时间,因此该干预方法值得临床推广应用。

    Abstract:

    Objective: Explore the impact of continuous improvement in neonatal resuscitation quality combined with management of non-nutritional sucking position on the prognosis of premature infants.Methods:The postoperative blood pressure (PaO2) and oxygen saturation (SaO2) of newborns were significantly higher than those in the control group, but the carbon dioxide blood pressure (PaCO2) was significantly lower than that in the control group (p<0.05). The Apgar score of the observation group was significantly higher than that of the control group (p<0.05). The recovery time of birth weight, gastric retention time and total intestinal feeding time in the control group were shorter than those in the control group (p<0.05). The incidence of complications in the follow-up group was significantly lower than that in the control group (p<0.05).Results:Blood oxygen partial pressure (PaO2) and arterial oxygen saturation (SaO2) in the postoperative neonatal observation group were significantly higher than in the control group, but arterial carbon dioxide partial pressure (PaO2) was significantly lower than in the control group (P<0.05). The Apgar score in the observation group was significantly higher than in the control group (P<0.05). The recovery time of birth weight, gastric tube retention time and total enteral feeding time in the observation group were shorter than in the control group, and the data difference was statistically significant (P<0.05). The incidence of complications in the observation group was significantly shorter than in the control group (P<0.05).Conclusion:The intervention method to continuously improve the quality of neonatal resuscitation combined with the non-nutritional sucking position can significantly improve blood gas indicators and Apgar scores of premature infants, shorten weight recovery at birth, gastric tube retention and the entire intestinal feeding cycle, reduce the incidence of complications and shorten hospitalization times. Therefore, this method of intervention is worthy of clinical promotion and application.

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景俊英.持续新生儿复苏质量改进联合非营养性吸吮体位管理对早产儿预后的影响[J].四川生理科学杂志,2026,48(1):

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  • 收稿日期:2024-12-06
  • 最后修改日期:2025-04-18
  • 录用日期:2025-05-09
  • 在线发布日期: 2026-01-23
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