经鼻导管高流量加温湿化正压通气与经鼻持续正压通气治疗新生儿呼吸窘迫综合征患儿的舒适度比较  

Comfort comparison on the therapeutic efficacy of heated humidified high-flow nasal can-nula and nasal continuous positive airway pressure in treating neonatal respiratory distress syndrome

作　　者：黄玲 敖桢桢 

机构地区：[1]广东省河源市妇幼保健院儿科,广东河源517000

出　　处：《中国当代医药》2017年第17期89-91,共3页China Modern Medicine

摘　　要：目的对比经鼻导管高流量加温湿化正压通气(HHFNC)与经鼻持续气道正压通气(NCPAP)治疗新生儿呼吸窘迫综合征(NRDS)的效果及治疗舒适度。方法选取2016年1月~2017年1月我院收治的60例NRDS患儿作为研究对象,采用随机数字表法分为研究组与对照组,每组30例。研究组与对照组患儿分别给予HHFNC与NCPAP两种通气治疗,比较两组患儿的治疗舒适度及相关并发症情况。结果研究组患儿EDIN量表各项评分均低于对照组,差异有统计学意义(P<0.05);研究组治疗期间相关并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论相比经鼻持续气道正压通气,为NRDS患儿提供经鼻导管高流量加温湿化正压通气可显著提高其舒适度,降低鼻部损伤等相关并发症发生率,具有一定推广价值。Objective To compare the therapeutic efficacy and therapeutic comfort of heated humidified high-flow nasal can-nula（HHFNC） and nasal continuous positive airway pressure（NCPAP） in treating neonatal respiratory distress syndrome（NRDS）.Methods 60 patients with NRDS admitted to our hospital from January 2016 to January 2017 were selected as the study object.6 0 patients were randomly divided into study group and control group by random number table method,with 30 cases in each group,the patients of the two groups were given two kinds of airway treatments of HHFNC and NCPAP respectively,the treatment comfort level and related complications of patients in two groups were compared.Results The EDIN score of the children in the study group was significantly lower than that in the control group,the difference was statistically significant（P〈0.05）;the incidence of complications in the study group was fewer than that of the control group,the difference was statistically significant（P〈0.05）.Conclusion Compared with nasal continuous positive airway pressure,providing heated humidified high-flow nasal can-nula for child patients with neonatal respiratory distress syndrome can significantly improve the comfort,and reduce the incidence of complications such as nose injury,so that it has a certain promotional value.

关 键 词：经鼻导管高流量加温湿化正压通气 经鼻持续气道正压通气 新生儿呼吸窘迫综合征 舒适度 

分 类 号：R766.43[医药卫生—耳鼻咽喉科]