两种无创正压给氧方式对呼吸窘迫综合征早产儿血气指标及疗效影响的比较  

Comparison of the effects of two noninvasive positive pressure oxygen supply methods on blood gas indicators and curative effects of premature infants with respiratory distress syndrome

作　　者：王琳[1] Wang Lin(District 1,neonatal department,Zhengzhou maternal and child health care hospital,Zhengzhou,Henan 450000)

机构地区：[1]郑州市妇幼保健院新生儿科一区,河南郑州450000

出　　处：《辽宁医学杂志》2018年第5期35-36,共2页Medical Journal of Liaoning

摘　　要：目的探讨两种无创正压给氧方式对呼吸窘迫综合征早产儿血气指标及疗效影响。方法本次选取66例呼吸窘迫综合征早产儿作为研究对象,研究时间为2017年01月17日至2018年04月19日,按照随机数字法分为两组,即对照组给予鼻塞式持续气道正压通气模式治疗、观察组给予双水平气道正压通气模式治疗,各33例。结果观察组33例呼吸窘迫综合征早产儿的临床总有效率96. 97%(32/33)高于对照组数据75. 76%(25/33),P<0. 05。观察组33例呼吸窘迫综合征早产儿的PaCO_2低于对照组数据,且PaO_2、pH、SaO_2均高于对照组数据,P <0. 05。结论双水平气道正压通气模式应用于呼吸窘迫综合征早产儿中具有较高的临床价值,能够在发挥显著疗效的基础上改善血气指标,值得应用及推广。Objective To explore the influence of two noninvasive positive pressure oxygen supply methods on blood gas indicators and curative effect of premature infants with respiratory distress syndrome.Methods 66premature infants with respiratory distress syndrome were selected as the research object,the research period was from January 17,2017to A- pril 19,2018.they were divided into two groups according to random number method,namely,the control group was given nasal continuous positive airway pressure treatment,and the observation group was given bi-level positive airway pressure treatment,with 33cases in each group.Results The total clinical effective rate of 33premature infants with respiratory distress syndrome in the observation group was 96.97%(32/33)higher than that of 75.76%(25/33)in the control group (P <0.05).Paco 2of 33premature infants with respiratory distress syndrome in the observation group was lower than that in the control group,and pao 2,ph and Sao 2 were higher than that in the control group (P <0.05).Conclusion The application of bi-level positive airway pressure in premature infants with respiratory distress syndrome has high clinical value,can improve blood gas indicators on the basis of significant curative effect,and is worthy of application and promotion.

关 键 词：无创正压给氧 呼吸窘迫综合征 早产儿 血气指标 

分 类 号：R722.6[医药卫生—儿科]