经鼻塞持续气道正压通气治疗新生儿呼吸衰竭的疗效观察  

To observe the curative effect of nasal continuous positive airway pressureventilation in treatment of neonatal respiratory failure

作　　者：周燕[1] 

机构地区：[1]河南省商丘市第一人民医院新生儿科,476100

出　　处：《中外女性健康》2014年第08X期5-6,共2页Health

摘　　要：目的：观察和分析应用经鼻塞持续气道正压通气治疗新生儿呼吸衰竭的临床疗效及价值。方法：选取2011年4月至2013年9月在我院接受治疗的呼吸衰竭患儿40例，随机分为观察组（20例）和对照组（20例），观察组患儿采取经鼻塞持续气道正压通气治疗，对照组患儿采用气管插管后机械通气治疗，比较两组患儿在治疗前后血气分析结果的变化情况，并发症发生率以及呼吸机的使用时间等指标。结果：两组患儿在治疗前PO2、PCO2及pH值等血气分析指标无显著差异（P〈0.05）；治疗后观察组PO2、PCO2、pH值均小于对照组（P〈0.05），差异具有统计学意义。结论：采用鼻塞持续气道正压通气对患有呼吸衰竭症状的新生儿进行治疗，有助于改善患儿呼吸状态，降低血氧及二氧化碳分压，同时降低了并发症的发生率，值得临床推广和应用。Objective： To observe and analysis the clinical curative effect andapplication value of nasal continuous positive airway pressure ventilation in treatment of neonatal respiratory failure. Methods： From 2011years4 months -2013years 9 months in our hospital with respiratory failure in 40 cases, were randomly divided into observation group （20 cases） and control group （20 cases）, the observation group treated with nasal continuous positive airway pressure therapy, the control group were treated with endotracheal intubationmechanical ventilation therapy, comparison the two groups in the changes ofblood gas analysis results before and after treatment, the incidence of complications and time use ventilator index. Results： The patients of the two groups before treatment PO2, PCO2 and pH value of the index of blood gas analysis showed no significant difference （P〈0.05）;after treatment were observed in group PO2, PCO2, pH values were less than the control group（P〈0.05）, the difference was statistically significant. Conclusion：The use of nasal continuous positive airway pressure ventilation to treat respiratory failure in neonates with symptoms, help to improve respiratory status, reducing the pressure of oxygen and carbon dioxide, and reduce the incidence of complications, worthy of clinical popularization and application.

关 键 词：鼻塞持续气道正压通气 新生儿 呼吸衰竭 

分 类 号：R722.153[医药卫生—儿科]