鼻塞式连续气道正压通气辅助治疗毛细支气管炎喘憋期临床观察  

Clinical Observation of Nasal CPAP for Auxiliary Treatment with Bronchiolitis in Asthma Stage

作　　者：黎建丽[1] 

机构地区：[1]宝鸡市妇幼保健院儿童医院儿科,陕西宝鸡721000

出　　处：《医学综述》2012年第18期3091-3093,共3页Medical Recapitulate

摘　　要：目的探讨鼻塞式连续气道正压通气(CPAP)辅助治疗毛细支气管炎的疗效。方法将我院2010年12月至2012年2月住院诊断为毛细支气管炎的患儿102例随机分为治疗组52例,对照组50例。治疗组在综合治疗基础上给予鼻塞式CPAP辅助治疗吸氧,对照组在综合治疗基础上给予鼻导管或头罩吸氧。观察两组患儿的意识、咳嗽、气喘、呼吸困难、缺氧及肺部干湿性啰音等症状体征变化。结果治疗组和对照组在治疗3、5、7 d后的疗效比较,两组间差异均有统计学意义(P<0.01);治疗组总有效率为96%,对照组总有效率为56%,治疗组明显优于对照组(χ2=22.841,P<0.01)。结论鼻塞式CPAP治疗毛细支气管炎疗效显著,不良反应少,值得临床推广应用。Objective To discuss the nasal continuous positive airway pressure（CPAP） on auxiliary treat- ment of bronchiolitis. Methods 102 hospitalized （ Dec. 2010 to Feb. 2012 ） babies diagnosed as bronchiolitis were divided into two groups randomly. 52 babies in experimental group were treated with nasal CPAP while 50 babies in control group were treated with conventional oxygen inhalation method （ endotracheal intubation and oxygen inhalation by head set）. Two groups were observed for cough, wheezing, consciousness, dyspnea, hypoxia and other symptoms. Results The differences between the two groups compared on day3, day5 and day7 after treatment started were all statistically significant（ P 〈 0.01 ）. The treatment group total effective rate was 96% ;the control group total effective rate was 56%. There was significant difference between the two groups （ X^2 = 22. 841 ,P 〈 0.01 ）. Conclusion Nasal CPAP as treatment of bronchiolitis is featured with significant effect and less adverse reaction,which is worthy of clinical application.

关 键 词：毛细支气管炎 喘憋期 连续气道正压通气 

分 类 号：R562.21[医药卫生—呼吸系统]