The analysis of clinical results of different supine combination of mechanical ventilation ;supporting the management for preventing postoperative complications of esophageal ;atresia
10.3969/J.ISSN.1672-8270.2016.09.028
- VernacularTitle:不同卧位结合呼吸机辅助呼吸支持管理在预防先天性食道闭锁术后并发症的临床效果分析
- Author:
Huirong XIA
- Publication Type:Journal Article
- Keywords:
Different supine;
Mechanical ventilation;
Support management;
Esophageal atresia surgery;
Complication
- From:
China Medical Equipment
2016;13(9):92-94,95
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the prophylactic effect of combined supine mechanical ventilation supporting the management of esophageal atresia in postoperative complications. Methods:80 patients were selected from January 2015 to June 2016 in the hospital for treatment of congenital esophageal atresia surgery, and divided into control group and observation group with 40 cases each according to the postoperative management method. The control group was treated by holding pillow supine posture and implement routine care, and the observation group was maintained 30o supine mechanical ventilation support management, in order to compare incidence of postoperative complications between them. Results:The incidence of postoperative complications in the observation group was lower than that in the control group (x2=6.03, P<0.05). There was no significant difference between the two groups of children with mechanical ventilation time, HR and MAP levels (t=0.39, t=1.73, t=2.04;P>0.05). The children SaO2 levels in the observation group were significantly higher than that in the control group (t=19.24, P<0.05). The patient care satisfaction rate of observation group was 95.0%, significantly higher than 77.5%in the control group (x2=6.38, P<0.05). Conclusion:It works well for patients with esophageal atresia surgery after using 30o supine intervention and mechanical ventilation support management. It can reduce the incidence of postoperative complications, and should be widely applied.