鼻塞式持续气道正压通气辅助治疗重症毛细支气管炎临床观察  

Clinical observation of nasal continuous positive airway pressure in adjuvant therapy of severe capillary bronchitis

作　　者：张瑛[1] 

机构地区：[1]河南省商丘市第一人民医院儿童重症监护室,476100

出　　处：《中国实用医药》2016年第18期14-15,共2页China Practical Medicine

摘　　要：目的探讨鼻塞式持续气道正压通气(CPAP)治疗重症毛细支气管炎患儿的疗效。方法 100例重症毛细支气管炎患儿随机分为治疗组40例与对照组60例。治疗组在常规综合治疗的基础上给予鼻塞式CPAP辅助治疗,对照组在综合治疗的基础上给予鼻导管或头罩吸氧。比较两组治疗3、5、7 d后的治疗效果。结果治疗组患儿治疗3、5、7 d后总有效率均高于对照组,差异均有统计学意义(P<0.01)。结论鼻塞式CPAP辅助治疗重症毛细支气管炎疗效显著,值得推广应用。Objective To investigate curative effect by nasal continuous positive airway pressure（CPAP） in the treatment of severe capillary bronchitis children. Methods A total of 100 severe capillary bronchitis children were randomly divided into treatment group with 40 cases and control group with 60 cases. The treatment group received nasal CPAP as adjuvant therapy in addition to conventional comprehensive treatment, and the control group received nasal catheter or hood oxygen inhalation in addition to conventional comprehensive treatment. Curative effects in 3, 5, 7 d after treatment were compared between the two groups. Results The treatment group had all higher total effective rate in 3, 5, 7 d after treatment than the control group, and their differences all had statistical significance（P〈0.01）. Conclusion Nasal CPAP provides precisely curative effect as adjuvant therapy of severe capillary bronchitis, and it is worth promoting and applying.

关 键 词：重症毛细支气管炎 持续气道正压通气 疗效 

分 类 号：R725.6[医药卫生—儿科]