流量持续气道正压呼吸机治疗新生儿肺透明膜病的疗效分析

Efficiency analysis of flow continuous positiveairway pressure ventilator in treating neonatal hyaline membrane disease

  • 摘要:
      目的  探讨流量持续气道正压(CPAP)呼吸机治疗新生儿肺透明膜病的疗效。
      方法  将200例新生儿肺透明膜病患儿分为研究组(流量CPAP呼吸机治疗)与对照组同步间歇指令通气(SIMV)治疗,每组100例。比较2组治疗总有效率、不良反应发生情况、呼吸困难评分、治疗时间及肺功能指标变化。
      结果  2组不良反应发生率无显著差异(P > 0.05)。研究组治疗总有效率、呼吸困难评分高于对照组,呼吸机使用时间、给氧时间、住院时间短于对照组,pH值、二氧化碳分压低于对照组,动脉氧分压、呼吸流量峰值高于对照组,差异均有统计学意义(P < 0.05)。
      结论  流量CPAP呼吸机治疗新生儿肺透明膜病的效果显著。

     

    Abstract:
      Objective  To investigate the efficacy of flow continuous positive airway pressure (CPAP) ventilator in the treatment of hyaline membrane disease in newborns.
      Methods  Totally 200 neonates with hyaline membrane disease were divided into study group (flow CPAP ventilator treatment) and control group simultaneous intermittent mandatory ventilation (SIMV) treatment, with 100 cases in each group. The total effective rate, incidence of adverse reactions, dyspnea score, treatment time and changes of pulmonary function indexes were compared between the two groups.
      Results  There was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05). The total effective rate and dyspnea score of the study group were higher than those of the control group, the duration of ventilator use, oxygen supply and hospitalization time were shorter than those of the control group, the pH value and partial pressure of carbon dioxide were lower than those of the control group, the arterial partial pressure of oxygen and peak value of respiratory flow were higher than those of the control group, and all these differences were statistically significant (P < 0.05).
      Conclusion  The flow CPAP ventilator is effective in treating hyaline membrane disease in newborns.

     

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