经鼻间歇正压通气治疗新生儿呼吸窘迫综合征效果分析
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摘要
目的:探讨经鼻间歇正压通气在新生儿呼吸窘迫综合征治疗中的应用效果。方法:选取2016年2月—2017年8月收治的94例新生儿呼吸窘迫综合征患儿,利用随机数表法分为两组,每组47例。对照组采取经鼻持续气道正压通气,观察组采取经鼻间歇正压通气,对比两组临床疗效及动脉血气指标。结果:观察组治疗总有效率较对照组高,差异有统计学意义(P<0.05);观察组动脉血氧分压(PaO_2)、pH值较对照组高,动脉血二氧化碳分压(PaCO_2)较对照组低,差异有统计学意义(P<0.05)。结论:经鼻间歇正压通气可有效提高新生儿呼吸窘迫综合征治疗效果,缩短呼吸机使用时间,改善动脉呼吸指标。
Objective:To investigate the application effect of nasal intermittent positive pressure ventilation respiratory distress syndrome in treatment of neonatal respiratory distress syndrome.Methods:All 94 cases of neonatal respiratory distress syndrome from February 2016 to August 2017 were selected,and they were divided into two groups by random number table,with 47 cases in each group.Control group was given nasal continuous positive airway pressure,while observation group was treated with nasal intermittent positive pressure ventilation.The clinical efficacy and arterial blood gas indexes were compared between the two groups.Results:The total effective rate of observation group was higher than that of control group(P<0.05).The PaO_2 and pH of observation group were higher than those of control group,while the PaCO_2 was lower than control group(P<0.05).Conclusion:Nasal intermittent positive pressure ventilation for neonatal respiratory distress syndrome can effectively increase curative effects,shorten mechanical support time and improve arterial blood gas indexes.
Objective:To investigate the application effect of nasal intermittent positive pressure ventilation respiratory distress syndrome in treatment of neonatal respiratory distress syndrome.Methods:All 94 cases of neonatal respiratory distress syndrome from February 2016 to August 2017 were selected,and they were divided into two groups by random number table,with 47 cases in each group.Control group was given nasal continuous positive airway pressure,while observation group was treated with nasal intermittent positive pressure ventilation.The clinical efficacy and arterial blood gas indexes were compared between the two groups.Results:The total effective rate of observation group was higher than that of control group(P<0.05).The PaO_2 and pH of observation group were higher than those of control group,while the PaCO_2 was lower than control group(P<0.05).Conclusion:Nasal intermittent positive pressure ventilation for neonatal respiratory distress syndrome can effectively increase curative effects,shorten mechanical support time and improve arterial blood gas indexes.
引文
[1]詹群亮,凌华,林琳,等.鼻塞式间歇与持续正压通气在极低出生体重早产新生儿呼吸窘迫综合征的比较[J].中国中西医结合儿科学,2017,9(4):315-318.
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[12]程光清,付扬喜,张森山,等.经鼻间歇正压通气与经鼻持续正压通气治疗新生儿呼吸窘迫综合征的临床疗效比较[J].现代生物医学进展,2016,16(34):6738-6741.
[13]王宋青,闻建军,施益农.经鼻间歇正压通气治疗新生儿呼吸窘迫综合征的临床研究[J].临床肺科杂志,2016,21(12):2219-2222.
[14]彭磊,乐功芳,陈绪萍.经鼻间歇正压通气与机械通气治疗新生儿呼吸窘迫综合征的疗效比较[J].河北医药,2016,38(8):1167-1169.
[15]张连红,熊丽.经鼻间歇正压通气在新生儿呼吸窘迫综合征中应用价值[J].现代仪器与医疗,2015,21(3):66-67.
[2]张晓婷,庞英超,陈裕萍.Insure技术治疗新生儿呼吸窘迫综合征的临床疗效[J].中国中西医结合儿科学,2016,8(2):190-192.
[3]侯静,王雪娇,于凤英.新生儿呼吸窘迫综合征不间断NCPAP通气下应用固尔苏护理体会[J].中国中西医结合儿科学,2015,7(6):540-542.
[4]朱志成,周建国,陈超.新生儿经鼻间歇正压通气的研究进展[J].中国当代儿科杂志,2017,19(12):1301-1305.
[5]邵肖梅,叶鸿猖,丘小汕.实用新生儿学[M].4版.北京:人民卫生出版社,2011:395-398.
[6]张瑞敏,刁玉巧,翟淑芬,等.3种无创辅助通气方式治疗新生儿呼吸窘迫综合征的临床研究[J].中国妇幼保健,2016,31(21):4441-4445.
[7]王柱,高薇薇,陈佳,等.两种无创呼吸支持法治疗早产儿呼吸窘迫综合征疗效分析[J].中国新生儿科杂志,2017,32(4):269-273.
[8]孙祎璠.新生儿呼吸窘迫综合征无创通气治疗的研究进展[J].国际儿科学杂志,2016,43(10):803-806.
[9]罗庆容,沈俊妃.两种无创正压通气模式初始治疗早产儿呼吸窘迫综合征的对照研究[J].检验医学与临床,2015,29(13):1880-1882.
[10]封华海,丘丽莉,邓燕艺.经鼻间歇与持续气道正压通气治疗新生儿呼吸窘迫综合征疗效比较[J].海南医学,2017,28(21):3488-3490.
[11]李慧敏,赵武.经鼻间歇正压通气在早产儿呼吸窘迫综合征中的应用[J].蚌埠医学院学报,2015,40(11):1612-1614.
[12]程光清,付扬喜,张森山,等.经鼻间歇正压通气与经鼻持续正压通气治疗新生儿呼吸窘迫综合征的临床疗效比较[J].现代生物医学进展,2016,16(34):6738-6741.
[13]王宋青,闻建军,施益农.经鼻间歇正压通气治疗新生儿呼吸窘迫综合征的临床研究[J].临床肺科杂志,2016,21(12):2219-2222.
[14]彭磊,乐功芳,陈绪萍.经鼻间歇正压通气与机械通气治疗新生儿呼吸窘迫综合征的疗效比较[J].河北医药,2016,38(8):1167-1169.
[15]张连红,熊丽.经鼻间歇正压通气在新生儿呼吸窘迫综合征中应用价值[J].现代仪器与医疗,2015,21(3):66-67.