简易鼻塞式持续气道正压呼吸器治疗新生儿呼吸窘迫的临床分析
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摘要
目的:研究新生儿呼吸窘迫采用简易鼻塞式持续气道正压呼吸器进行治疗的效果。方法:选取某院2014年9月～2015年6月某院收治的130例呼吸窘迫综合征新婴儿分成为对照组和观察组,每组各65例,对照组赋予肺表面活性物质治疗,观察组则使用简易鼻塞式持续呼吸道正压给氧治疗,对比两组新生婴儿脑室内出血、正压呼吸治疗时间长短、血气分析以及死亡率和住院费用等临床试验指标。结果:观察组新生儿的动脉血气结果明显好于对照组新生婴儿,有显著差异(P<0.05);观察组新生儿正压呼吸治疗时间、脑室内出血、住院费用和死亡率明显少于对照组的新生儿,有显著差异(P<0.05)。结论:呼吸窘迫综合征新生儿采用简易鼻塞式持续呼吸道正压给氧治疗效果显著,术后不良反应少。
Objective:To study the effect of simple nasal obstruction and continuous positive airway pressure breathing apparatus in the treatment of neonatal respiratory distress.Methods:130cases of neonatal respiratory distress syndrome in a hospital from September 2014 to August 2016 were selected and divided into control group and observation group,with 65 cases in each group.Control group was given pulmonary surfactant therapy,observation group was applied simple nasal obstruction and continuous positive airway pressure breathing apparatus treatment.Clinical trial indicators such as intraventricular hemorrhage,duration of positive pressure breathing therapy,blood gas analysis,mortality rate and hospitalization cost were compared between the two groups.Results:The results of arterial blood gas in the observation group were significantly better than those in the control group,with significant difference(P<0.05);The duration of positive pressure breathing therapy for neonates,intraventricular hemorrhage,hospitalization cost and mortality rate in the observation group were significantly lower than those in the control group,with significant differences(P<0.05).Conclusion:The clinical trial efficacy of simple nasal obstruction and continuous positive airway pressure breathing apparatus in the treatment of neonatal respiratory distress is safe and stable,with few adverse reactions.
Objective:To study the effect of simple nasal obstruction and continuous positive airway pressure breathing apparatus in the treatment of neonatal respiratory distress.Methods:130cases of neonatal respiratory distress syndrome in a hospital from September 2014 to August 2016 were selected and divided into control group and observation group,with 65 cases in each group.Control group was given pulmonary surfactant therapy,observation group was applied simple nasal obstruction and continuous positive airway pressure breathing apparatus treatment.Clinical trial indicators such as intraventricular hemorrhage,duration of positive pressure breathing therapy,blood gas analysis,mortality rate and hospitalization cost were compared between the two groups.Results:The results of arterial blood gas in the observation group were significantly better than those in the control group,with significant difference(P<0.05);The duration of positive pressure breathing therapy for neonates,intraventricular hemorrhage,hospitalization cost and mortality rate in the observation group were significantly lower than those in the control group,with significant differences(P<0.05).Conclusion:The clinical trial efficacy of simple nasal obstruction and continuous positive airway pressure breathing apparatus in the treatment of neonatal respiratory distress is safe and stable,with few adverse reactions.
引文
1吴惠兰,陈玲玲,邵雪华.简易鼻塞式持续气道正压呼吸器治疗新生儿呼吸窘迫的临床分析.现代中西医结合杂志,2008,17(2):240~241.
2 张厚玲,王皓,李华,等.新型鼻塞式持续气道正压呼吸治疗新生儿呼吸衰竭的临床观察.中国妇幼保健,2009,24(27):3889~3890.
3 宋飞,韩代成.新型鼻塞式持续气道正压呼吸治疗新生儿呼吸衰竭临床观察.公共卫生与预防医学,2007,18(3):103~103.
4 付四毛,郭小玲,张志培,等.简易鼻塞持续气道正压呼吸支持装置在婴幼儿危重症中的应用.医学临床研究,2002,19(10):337~339.
5 廖积仁,谭菁.呼吸机鼻塞持续气道正压呼吸治疗新生儿肺透明膜病临床观察.医学信息:西安上半月,2005,18(2):157.
6 潘瑞.猪肺磷脂注射液联合呼吸机鼻塞式持续正压通气治疗新生儿呼吸窘迫综合征的临床观察.中国基层医药,2016,23(15):2331~2334.
7 段红丽.简易鼻塞持续气道正压通气在基层医院新生儿呼吸窘迫综合征中的应用.中外健康文摘,2012,09(25):128.
8 赵国华,高燕勤.简易鼻塞式持续气道正压通气治疗新生儿呼吸窘迫的疗效观察.中国实用医刊,2011,38(16):73~74.
9 李光华.鼻塞式持续气道正压通气治疗新生儿呼吸窘迫综合征的临床分析.深圳中西医结合杂志,2015,25(3):26~27.
2 张厚玲,王皓,李华,等.新型鼻塞式持续气道正压呼吸治疗新生儿呼吸衰竭的临床观察.中国妇幼保健,2009,24(27):3889~3890.
3 宋飞,韩代成.新型鼻塞式持续气道正压呼吸治疗新生儿呼吸衰竭临床观察.公共卫生与预防医学,2007,18(3):103~103.
4 付四毛,郭小玲,张志培,等.简易鼻塞持续气道正压呼吸支持装置在婴幼儿危重症中的应用.医学临床研究,2002,19(10):337~339.
5 廖积仁,谭菁.呼吸机鼻塞持续气道正压呼吸治疗新生儿肺透明膜病临床观察.医学信息:西安上半月,2005,18(2):157.
6 潘瑞.猪肺磷脂注射液联合呼吸机鼻塞式持续正压通气治疗新生儿呼吸窘迫综合征的临床观察.中国基层医药,2016,23(15):2331~2334.
7 段红丽.简易鼻塞持续气道正压通气在基层医院新生儿呼吸窘迫综合征中的应用.中外健康文摘,2012,09(25):128.
8 赵国华,高燕勤.简易鼻塞式持续气道正压通气治疗新生儿呼吸窘迫的疗效观察.中国实用医刊,2011,38(16):73~74.
9 李光华.鼻塞式持续气道正压通气治疗新生儿呼吸窘迫综合征的临床分析.深圳中西医结合杂志,2015,25(3):26~27.