Application of evidence-based oropharyngeal nursing in the prevention of ventilator-associated pneumonia in newborns
基于循证理念的口咽部护理在预防新生儿呼吸机相关肺炎中的应用

摘要

目的 分析循证理念的口咽部护理在预防新生儿呼吸机相关肺炎中的应用价值。方法 选取本院2023年5月～2024年5月期间收治的80例行机械通气治疗的新生儿，随机将其分为对照组（实施常规护理）和观察组（在常规护理的基础上实施基于循证理念的口咽部护理）。对比两组新生儿在呼吸机治疗中的效用。结果 观察组新生儿的治愈率优于对照组新生儿，且观察组新生儿的不良反应发生率及机械通气时间、住院时间显著低于对照组，（p＜0.05）。观察组新生儿护理后PaCO，低于对照组低，护理后PaO2高于对照组，(P<0.05)。结论 基于循证理念的口咽部护理在新生儿预防呼吸机相关肺炎中的效果显著，优于传统护理方法，具有很好的临床效果，值得进一步推广。

Abstract

Objective To analyze the application value of evidence-based oropharyngeal care in the prevention of neonatal ventilator-related pneumonia.
Methods 80 neonates receiving mechanical ventilation during 2023.05 to 2024.04 were selected and randomly divided into control group (routine nursing) and observation group (oropharyngeal nursing based on routine nursing). Compare the utility of the two neonatal groups in ventilator treatment.
Results The cure rate of the observation group was better than that of the control group, and the incidence of adverse reactions, duration of mechanical ventilation and hospitalization in the observation group were significantly lower than that of the control group, (p <0.05). PaCO was lower than the control group, and PaO2 was higher than the control group (P <0.05).
Conclusion   The oropharyngeal nursing based on evidence-based concept has remarkable effect in neonatal prevention of ventilator-related pneumonia, which is better than traditional nursing methods, has good clinical effect and deserves further promotion.