Nazal ve sürekli hava yolu basıncı (N-CPAP) altında sırtüstü ve yüzükoyun pozisyonların preterm bebeklerin fizyolojik parametreleri üzerindeki etkisinin karşılaştırılması: bir çapraz klinik çalışma

Yıl 2019, Cilt: 44 Sayı: 4, 1250 - 1255, 29.12.2019

Homa Babaei Leila Mohammadi Pirkashani Behzad Soleimani

https://doi.org/10.17826/cumj.512192

Öz

Amaç: Bu çalışmanın amacı, sırtüstü ve yüzüstü konumların nazal sürekli pozitif hava yolu basıncı (N-CPAP) altındaki preterm bebeklerin fizyolojik parametreleri üzerindeki etkilerini karşılaştırmaktır.

Gereç ve Yöntem: Bu çapraz klinik çalışma, İran' Kermanşah'taki İmam Reza Hastanesi Yenidoğan yoğun bakım ünitesinde N-CPAP altındaki 62 hastaneye yatmış erken doğmuş bebek üzerinde yapıldı. Yenidoğanlar ilk önce 180 dakika boyunca sırtüstü pozisyona getirildi ve daha sonra onların pozisyonu 180 dakika yüzüstü bir pozisyona getirildi. Bu süre zarfında kalp atım hızı (HR), solunum hızı (RR) ve arteriyel oksijen satürasyonu (So2) her 15 dakikada bir iki pozisyonda değerlendirildi.

Bulgular: İki pozisyonda İK araçlarında anlamlı fark gözlendi. Yüzüstü pozisyonda RR, sırtüstü pozisyondan anlamlı derecede düşüktü; ancak, yüzüstü pozisyonda So2 sırtüstü pozisyondan anlamlı derecede yüksekti.

Sonuç: Bu çalışmanın sonuçları, N-CPAP altında solunum sıkıntısı sendromu olan erken doğmuş bebeklerde, sırtüstü pozisyona kıyasla yüzüstü pozisyonda daha düşük RR ve daha yüksek So2 olduğunu göstermiştir. Bu nedenle, erken doğmuş bebekler yüzüstü pozisyonda daha iyi fizyolojik stabiliteye sahiptir.

Anahtar Kelimeler

Preterm Infant, Prone Position, Supine Position, Oxygenation

Comparison of the effect of supine and prone positions on physiological parameters of preterm infants under nasal continuous positive airway pressure (N-CPAP): a cross over clinical trial

Öz

Purpose: The aim of this study was to compare the effect of supine and prone positions on physiological parameters of preterm infants under nasal continuous positive airway pressure (N-CPAP). 

Materials and Methods: This cross-over clinical trial was conducted on 62 hospitalized preterm infants under N-CPAP in the neonatal intensive care unit of Imam Reza Hospital Kermanshah, Iran. Neonates were placed in supine position at first for 180 minutes and then their position was changed into prone position for another 180 minutes. During this period, heart rate (HR), respiratory rate (RR) and arterial oxygen saturation (So2) were assessed once every 15 minutes in two positions. 

Results: There was significant difference observed in the means of HR in two positions. The RR in the prone position was significantly lower than that in the supine position; however, the So2 in the prone position was significantly higher than the supine position.

Conclusion: The results of this study showed in preterm infants with respiratory distress syndrome under N-CPAP, there was lower RR and higher So2 in prone position when compared to the supine position. Therefore, preterm infants have better physiological stability in prone position.

Anahtar Kelimeler

Preterm Infant, Prone Position, Supine Position, Oxygenation, Respiratory Distress Syndrome

Kaynakça

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