Effect of nasal continuous positive airway pressure in prone position on the premature infants with apnea
10.3760/j.issn.1674-2907.2014.12.001
- VernacularTitle:俯卧位鼻塞持续气道正压通气在早产儿呼吸暂停中的应用效果
- Author:
Xuehong CAO
1
;
Ying WANG
;
Haiying YU
;
Dandan XIANG
Author Information
1. 325000 温州医科大学附属第二医院新生儿科
- Keywords:
Prone position;
Nasal continuous positive airway pressure;
Apnea;
Premature infants
- From:
Chinese Journal of Modern Nursing
2014;20(12):1365-1367
- CountryChina
- Language:Chinese
-
Abstract:
Objective The aim of this study is to assess the effect of nasal continuous positive airway pressure ( NCPAP) in prone position on the treatment of the premature infants with apnea .Methods Totals of 80 premature infants treated with NCPAP in the NICU from January to December , 2012 were observed . According to the random number table method , the premature infants were divided into prone position group and supine position group . Each group was treated with NCPAP and aminophylline , and relevant nursing intervention.The changes of their frequencies of apnea , PEEP, FiO2 , PaO2 , and PaCO2 , etc.were observed and compared.Results The effective rate of the prone group was 97.5% and the effective rate of the supine group was 82.5%.The difference was significant (χ2 =8.41, P<0.05).The PaO2 and PaO2/FiO2 in the prone group were (77.24 ±9.56), (171.25 ±31.13)mmHg, respectively, which were higher than (67.52 ± 8.61), (143.26 ±26.34)mmHg in the supine group.The differences were significant (t =2.16, 2.14, respectively;P<0.05).The time of ventilation, hospital stays and use of aminophylline were (3.65 ±2.01), (28.25 ±13.98), (10.82 ±9.08)d, which were lower than (4.83 ±3.51), (30.14 ±12.61), (12.21 ± 9.37)d in the supine group, the differences were significant (t=0.23, 1.96, 2.37, respectively;P<0.05). Conclusions Compared with the traditional supine position , treating the neonate with NCPAP in prone position can not only improve their oxygenation , PaO2 and oxygenation indexes , but also reduce the risk of apnea , as well as shortening the time of ventilation and using of aminophylline .It also reduces the treatment of intubation and ventilation, and relieves the financial burden of hospitalization on the infant ’ parents.
