邓锦玲 莫美女 莫改章 朱淑玲 邓焕章

[摘要] 目的 探讨综合护理干预对降低新生儿肺炎发生的效果。方法 方便选取2015年4月—2016年4月80例新生儿，随机分为对照组与实验组，每组40例，对照组开展新生儿科常规护理，实验组在此基础上实施综合护理干预。比较两组患儿肺炎发生率与家长健康知识掌握率情况以及护理前后的免疫指标情况。结果 实验组新生儿的肺炎发生率为0.0%，明显低于对照组的15.0%，差异有统计学意义（χ2=6.382，P<0.05）；实验组家长健康知识掌握率97.5%，明显高于对照组的75.0%，差异有统计学意义（χ2=5.847，P<0.05）。护理后实验组患儿的免疫指标CD3+（66.89±3.89）、CD4+（39.08±3.05）、CD4/CD8（1.57±0.13）、CD8+（25.48±1.95）明显优于对照组，差异有统计学意义（t=5.023、5.947、6.346、5.816，P<0.05）。结论 综合护理干预有利于降低新生儿肺炎发病率，改善机体免疫状态，应予以推广使用。

[关键词] 新生儿肺炎；综合护理干预；免疫功能；效果

[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2018）05（a）-0173-03

Effect of Comprehensive Nursing Intervention on Reducing the Occurrence of Pneumonia of Newborns

DENG Jin-ling， MO Mei-nv， MO Gai-zhang， ZHU Shu-ling， DENG Huan-zhang

Department of Pediatrics， Dongguan Qiaotou Hospital， Dongguan， Guangdong Province， 523520 China

[Abstract] Objective To study the effect of comprehensive nursing intervention on reducing the occurrence of pneumonia of newborns. Methods 80 cases of newborns admitted and treated in our hospital from April 2015 to April 2016 were convenient selected and divided into two groups with 40 cases in each， the control group used the routine nursing， while the experimental group used the general nursing intervention， on the basis of the control group， and the incidence rate of pneumonia， mastery rate of familys health knowledge and immune indexes before and after nursing were compared between the two groups. Results The incidence rate of pneumonia in the experimental group was obviously lower than that in the control group（0.0% vs 15.0%）， and the difference was statistically significant （χ2=6.382， P<0.05）， and the mastery rate of familys health knowledge in the experimental group was obviously higher than that in the control group（97.5% vs 75.0%）， and the difference was statistically significant （χ2=5.847， P<0.05）， after nursing， the immune indexes such as CD3+（66.89±3.89），CD4+（39.08±3.05）， CD4/CD8（1.57±0.13），CD8+（25.48±1.95） in the experimental group were obviously better than those in the control group， and the differences were statistically significant（t=5.023， 5.947， 6.346， 5.816， P<0.05）. Conclusion The comprehensive nursing intervention is conductive to reducing the onset rate of pneumonia of newborns and improving the immune state of organs， and it should be promoted and applied.

[Key words] Pneumonia of newborns； Comprehensive nursing intervention； Immune function； Effect

在新生兒科临床常见疾病中，新生儿肺炎是发病率较高的一种，也是死亡率较高的疾病之一，患儿多以发热、呼吸困难和持续咳嗽为主要表现，部分患儿无发热迹象但咳喘症状较为严重。新生儿肺炎多发于出生后1～2周，该病发病率较高，对患儿生长发育造成严重不良影响，甚至可导致患儿死亡[1]。除常规的临床治疗和护理措施外，通过科学合理的护理干预措施能够极大的提高患儿的康复效果和康复速度。且临床护理干预与家长合理照护对预防新生儿肺炎有积极的意义[2]。该文方便选取2015年4月—2016年4月该院收治的80例患儿为研究对象，主要探讨分析综合护理干预对降低新生儿肺炎发生的效果，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院收治的80例新生儿为该次研究对象，且所选病例均通过伦理委员会的批准，经患儿家属同意。随机分为两组：对照组中，男性患儿22例，女性患儿18例；……