肺超声辅助振动排痰治疗新生儿肺炎的临床效果  

Clinical effect of lung ultrasonic-assisted vibrating sputum discharge in the treatment of neonatal pneumonia

作　　者：陈君 刘开莲 黄朝梅[1] 戴怡蘅[1] CHEN Jun;LIU Kai-lian;HUANG Chao-mei;DAI Yi-heng(Department of Neonatology,Foshan Women and Children Hospital,Guangdong Province,Foshan,528000,China)

机构地区：[1]广东省佛山市妇幼保健院新生儿科,广东佛山528000

出　　处：《中国当代医药》2021年第20期133-135,共3页China Modern Medicine

摘　　要：目的探讨肺超声辅助振动排痰治疗新生儿肺炎的临床效果。方法选取2019年1月—2020年1月佛山市妇幼保健院收治的70例新生儿肺炎患儿作为研究对象,按照随机数字表法分为研究组(35例)与对照组(35例),研究组采用肺超声定位辅助振动排痰,对照组采用常规振动排痰。比较两组患儿的治疗效果、血气分析指标、停氧需要时间、咳嗽消失时间、住院时间及并发症发生情况。结果研究组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。研究组患儿治疗后10、30 min氧分压高于对照组,二氧化碳分压低于对照组,差异有统计学意义(P<0.05)。研究组的停氧需要时间、咳嗽消失时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。两组患儿均未发生颅内出血。结论新生儿肺炎患者采用肺超声辅助振动排痰效果显著,可改善血气指标,且安全性较高。Objective To investigate the clinical effect of lung ultrasound-assisted vibrating sputum drainage in the treatment of neonatal pneumonia.Methods A total of 70 cases of neonatal pneumonia admitted to Foshan Women and Children Hospital from January 2019 to January 2020 were selected as the research subjects,and divided into study group(35 cases)and control group(35 cases)according to random number table method.The study group was treated with lung ultrasonic localization assisted vibration sputum drainage,the control group was treated with conventional vibration sputum drainage.The treatment effect,blood gas analysis indexes,time to stop oxygen,time to disappear cough,length of hospital stay and incidence of complications were compared between the two groups.Results The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).At 10,30 min after treatment,the oxygen partial pressure in the study group was higher than that in the control group,the carbon dioxide content was lower than that in the control group,the differences were statistically significant(P<0.05).The time needed to stop oxygen,the time to disappear cough and the length of hospital stay in the study group were all shorter than those in the control group,the differences were statistically significant(P<0.05).No intracranial hemorrhage occurred in the two groups.Conclusion Lung ultrasound guided chest physiotherapy is safe and effective in the treatment of neonatal pneumonia.

关 键 词：肺超声 振动排痰 新生儿 肺炎 

分 类 号：R722.135[医药卫生—儿科]