肺保护性机械通气治疗小儿急性呼吸窘迫综合征的临床疗效分析  

Clinical Efficacy of Pulmonary Protective Mechanical Ventilation in the Treatment of Acute Respiratory Distress Syndrome in Children

作　　者：牛红艳[1] 萨初然贵[1] NIU Hong-yan;Sachurangui(Department of Pediatrics,Chifeng Hospital,Chifeng,Inner Mongolia,024000 China)

机构地区：[1]内蒙古赤峰市医院儿科

出　　处：《中外医疗》2019年第25期60-62,共3页China & Foreign Medical Treatment

摘　　要：目的探究小儿急性呼吸窘迫综合征治疗中采用肺保护性机械通气的治疗效果。方法随机选取2015年7月-2018年7月来该院呼吸科就诊的66例小儿急性呼吸窘迫综合征其患儿作为研究对象,按照其诊时间分为实验组和对照组各33例,对照组患儿实施常规机械通气,实验组则采用肺保护性机械通气,对两组血气指标、机械通气时间、住院时间等参数进行统计分析,对比两组患儿的呼吸机相关性肺炎发生率以及死亡率。结果实验组机械通气时间(21.5±12.3)d、住院时间(25.9±9.7)d等指标上明显比对照组要低,差异有统计学意义(t=3.519 3、4.872 2,P<0.05);实验组引发的呼吸机肺炎概率3.03%低于对照组(χ2=3.995 2,P<0.05);实验组的死亡率0.00%低于对照组(χ2=5.409 8,P<0.05);实验组的血气指标优于对照组,差异有统计学意义(P<0.05)。结论使用常规机械通气的方式引发呼吸机相关性肺炎的概率明显高于肺保护性机械通气患儿,肺保护性机械通气效果更佳,值得临床推广。Objective To investigate the therapeutic effect of pulmonary protective mechanical ventilation in the treatment of acute respiratory distress syndrome in children. Methods A total of 66 children with acute respiratory distress syndrome in this hospital from July 2015 to July 2018 were randomly selected. The patients were divided into experimental group and control group according to their diagnosis time. The control group underwent routine mechanical ventilation, and the experimental group used pulmonary protective mechanical ventilation. The blood gas index, mechanical ventilation time, hospitalization time and other parameters were statistically analyzed. The incidence of ventilator-associated pneumonia and mortality was compared between the two groups. Results The mechanical ventilation time (21.5±12.3)d and hospitalization time (25.9±9.7)d in the experimental group were significantly lower than those in the control group, and the difference was statistically significant(t=3.519 3, 4.872 2, P<0.05). The probability of ventilator pneumonia was 3.03% lower than that of the control group(χ2=3.995 2, P<0.05);the mortality rate of the experimental group was 0.00% lower than that of the control group(χ2=5.409 8, P<0.05);the blood gas index of the experimental group was better than that of the control group. The condifference was statistically significant (P<0.05). Conclusion The probability of using ventilator-associated pneumonia by conventional mechanical ventilation is significantly higher than that of children with pulmonary protective mechanical ventilation. The effect of pulmonary protective mechanical ventilation is better, which is worthy of clinical promotion.

关 键 词：急性呼吸窘迫综合征 呼吸机相关性肺炎 肺保护性机械通气 

分 类 号：R45[医药卫生—治疗学]