急诊急救措施及其早期持续气道正压通气对小儿重症肺炎合并呼吸衰竭的应用效果  

Study on the first aid measures for children with severe pneumonia and respiratory failure and the effect of early continuous positive airway pressure

作　　者：叶辉[1] 黄义双[1] YE Hui;HUANG Yishuang(Department of Emergency Pediatrics,Bao'an District Maternal and Child Health Hospital,Guangdong,Shenzhen 518000,China)

机构地区：[1]深圳市宝安区妇幼保健院急诊儿科,广东深圳518000

出　　处：《中国医药科学》2020年第9期76-79,共4页China Medicine And Pharmacy

摘　　要：目的研究分析针对重症肺炎合并呼吸衰竭患儿的急诊急救措施以及早期使用持续气道正压通气(CPAP)的临床效果。方法选取本院2017年8月~2019年8月收治的患有重症肺炎合并呼吸衰竭的患儿80例,将所有患儿随机分为两组,分别实施常规急诊急救措施(常规组40例)和早期持续气道正压通气(CPAP)(实验组40例),观察两组患儿的临床情况。结果两组患儿的治疗效果比较明显,实验组患儿的肺部啰音消失时间、发绀消失时间以及呼吸困难消失时间和心率恢复时间显著优于常规组,差异有统计学意义(P<0.05);实验组患儿的并发症发生率(7.50%)显著低于常规组(25.00%);且实验组患儿的病死率为2.5%,显著低于常规组患儿的12.5%,差异有统计学意义(P<0.05);且实验组患儿的血气指标显著优于常规组,差异有统计学意义(P<0.05)。结论相较于常规急救措施,CPAP可以有效提高小儿重症肺炎合并呼吸衰竭的治疗效果,同时还可以改善患儿的相关血气指标,降低并发症的发生率。Objective To analyze the first aid measures for children with severe pneumonia and respiratory failure and the effect of early continuous positive airway pressure(CPAP).Methods 80 children with severe pneumonia and respiratory failure who were treated in our hospital from August 2017 to August 2019 were randomly divided into two groups.The routine group was given routine first aid measures(n=40),and the study group was given CPAP(n=40).The clinical situation of the two groups was observed.Results The treatment effect of the two groups was more obvious.The lung rales disappearance time,cyanosis disappearance time,dyspnea disappearance time,and heart rate recovery time of the study group were significantly better than those of the routine group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group(7.50%)was significantly lower than that in the routine group(25.00%);And the mortality of the study group(2.5%)was significantly lower than 12.5%of the routine group,and the differences were statistically significant(P<0.05);And the blood gas index of the study group was significantly better than that of the routine group,and the difference was statistically significant(P<0.05).Conclusion Compared with routine emergency measures,CPAP can effectively improve the treatment of children with severe pneumonia combined with respiratory failure.In addition,it can also improve the relevant blood gas indicators of children,and reduce the incidence of complications.

关 键 词：小儿重症肺炎合并呼吸衰竭 急诊 急救措施 早期持续气道正压通气(CPAP) 血气指标 急救效果 

分 类 号：R725.6[医药卫生—儿科]