不同辅助通气方式预防超低出生体重早产儿拔管失败的临床研究  

Clinical Study on Prevention of Failure of Extubation in Premature Infants with Ultra-low Birth Weight by Different Auxiliary Ventilation Methods

作　　者：赵志娟[1] Zhao Zhijuan(Anyang Maternal arid Child Health Hospital, Henan Province ,Anyang 45500)

机构地区：[1]河南省安阳市妇幼保健院,安阳455000

出　　处：《数理医药学杂志》2018年第6期845-846,共2页Journal of Mathematical Medicine

摘　　要：目的:探析不同辅助通气方式预防超低出生体重早产儿拔管失败的临床效果。方法:对某院2013年1月~2015年12月期间收治的80例超低出生体重早产儿予以分组研究,根据随机原则分为两组,即参照组(n=40)与研究组(n=40)。参照组患儿予以予以鼻塞式持续气道正压通气(NCPAP),研究组患儿予以加温湿化经鼻导管高流量通气(HHHFNC),对两组患儿拔管失败率及并发症发生情况进行统计比较。结果:研究组患儿拔管失败率为22.5%,明显低于参照组患儿的45.0%,组间对比存在统计学差异(P<0.05);研究组患儿鼻部损伤、腹胀、气漏、坏死性小肠结肠炎的发生率均低于参照组患儿,组间比较差异具有统计学意义(P<0.05)。结论:在预防超低出生体重早产儿拔管失败中应用HHHFNC的效果更好,并发症发生率更低,值得临床广泛应用与普及。Objective：To explore clinical effect prevention of failure of extubation in premature infants with ultra-low birth weight by different auxiliary ventilation methods.Methods：80 cases of ultra-low birth weight premature infants treated in a hospital from January 2013 and December 2013 were selected and divided into control group（n=40）and study group（n=40）according to the principle of random.The children in the control group were given nasal continuous positive airway pressure ventilation（NCPAP）,and the children in the study group were treated with high flow ventilation via nasal catheter（HHHFNC）.The failure rate of extubation and the incidence of complications in the two groups were compared statistically.Results：The failure rate of extubation in the study group was 22.5%,which was significantly lower than that in the control group（45.0%）,and there was statistical difference between the two groups（P0.05）.The incidence of nasal injury,abdominal distention,gas leakage and necrotizing enterocolitis in the children of the study group were lower than those in the control group,and the difference between the two groups was statistically significant（P0.05）.Conclusion：The application of HHHFNC in the prevention of failure of extubation in premature infants with ultra-low birth weight is more effective and the incidence of complications is lower,which is worthy of extensive clinical application and popularization.

关 键 词：超低出生体重 早产儿 拔管失败 辅助通气方式 

分 类 号：R722.6[医药卫生—儿科]