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目的探讨肺少血紫绀型先天性心脏病缺氧发作时的危险因素与护理预防策略。方法通过观察记录2010年9月-2013年2月176例住院治疗的紫绀型先天性心脏病患儿信息,分析缺氧发作的相关诱因,并采取针对性护理对策进行干预,比较干预前(2010年9月-2012年9月,A组,n=126)和干预后(2012年10月-2013年2月,B组,n=50)患儿合并危险因素比例及缺氧发作率。结果 A组和B组合并1个及以上危险因素者分别为60例(47.6%)和5例(10.0%),差异有统计学意义(P<0.05);采取针对性护理干预措施后,B组患儿缺氧发作率(10.0%)较A组(24.6%)明显下降,两组比较差异有统计学意义(P<0.05)。结论采用针对性护理措施,可以减少危险因素的出现,进而可以明显防范和降低紫绀型先天性心脏病患儿缺氧发作概率。
Objective To investigate the risk factors and nursing strategies of hypogonadism in patients with congenital heart disease of lung-less cyanotic blood. Methods A total of 176 hospitalized children with cyanotic congenital heart disease from September 2010 to February 2013 were observed and recorded. The related causes of hypoxia were analyzed and targeted nursing intervention was conducted. Before intervention (2010 (September-September 2012, Group A, n = 126) and the proportion of risk factors associated with anaerobic attack after intervention (October 2012-February 2013, Group B, n = 50). Results There were 60 cases (47.6%) and 5 cases (10.0%) with risk factors of one or more in group A and group B, respectively, the difference was statistically significant (P <0.05). After taking specific nursing interventions, B The incidence of hypoxia in children (10.0%) was significantly lower than that in group A (24.6%), the difference was statistically significant (P <0.05). Conclusion The use of targeted care measures can reduce the risk of occurrence, which can significantly prevent and reduce the risk of hypoxia in children with cyanotic congenital heart disease.