呼吸机治疗早产儿呼吸窘迫综合征的肺保护性分析  

Analysis of Lung Protection in the Treatment of Neonatal Respiratory Distress Syndrome with Ventilator

作　　者：陈庶伟[1] CHEN Shu-wei(Department of Neonatology,Fujian Maternal and Child Health Hospital,Fujian Fuzhou 350000)

机构地区：[1]福建省妇幼保健院新生儿科,福建福州350000

出　　处：《中国医疗器械信息》2022年第20期146-148,共3页China Medical Device Information

摘　　要：目的:分析在早产儿呼吸窘迫综合征治疗中呼吸机治疗的肺保护性效果。方法:将本院收治的120例早产儿呼吸窘迫综合征患儿,根据治疗方式不同分为传统机械通气治疗(对照组)和肺保护性呼吸机通气治疗(观察组),对比分析两组患儿的治疗效果,治疗中产生的并发症、治疗前后的动脉血气指标以及患儿的通气、用氧以及住院时间。结果:观察组和对照组患儿的治疗有效率分别为98.33%、83.33%,P<0.05;并发症对比观察组和对照组的发生率分别为3.33%、18.33%,P<0.05;血气指标比较,PO_(2)、PCO_(2)、pH治疗前后差异不大,但治疗后观察组患儿的PO_(2)、PCO_(2)优于对照组,P<0.05;针对两组患儿的通气、用氧以及住院时间进行比较,观察组患儿均低于对照组,统计学比较的结果为P<0.05。结论:使用呼吸机肺保护性通气治疗早产儿呼吸窘迫综合征,可以快速地缓解患儿的症状,减少对患儿肺部产生的损伤,还可以减少治疗中产生的并发症,提高治疗效果,安全性和有效性均有保障,可以促进患儿早日康复。Objective:To analyze the lung protective effect of ventilator therapy in the treatment of premature infants with respiratory distress syndrome.Methods:120 cases of premature infants with respiratory distress syndrome treated in our hospital were divided into traditional mechanical ventilation treatment(control group)and lung protective ventilator ventilation treatment(observation group)according to different data methods,and the two groups were compared and analyzed.The treatment effect of the children,complications during treatment,thick arterial blood gas indexes before treatment,ventilation,oxygen use and hospitalization time of the children.Results:The treatment effective rates of the observation group and the control group were 98.33%and 83.33%,respectively,with a statistical P<0.05;The incidence of complications in the observation group and the control group were 3.33%and 18.33%,respectively,with a statistical P<0.05;Comparison of blood gas indexes,PO_(2),PCO_(2),and pH were not significantly different before and after treatment,but PO_(2) and PCO_(2) in the observation group were better than those in the control group after treatment(P<0.05).In the comparison of hospitalization time,the observation group was lower than the control group,and the result of statistical comparison was P<0.05.Conclusion:The use of ventilator lung protective ventilation in the treatment of premature infants with respiratory distress syndrome can quickly relieve the symptoms of the infants,reduce the damage to the lungs of the infants,and also reduce the complications during the treatment and improve the therapeutic effect.Safety and efficacy are guaranteed,which can promote the early recovery of children.

关 键 词：呼吸机 新生儿 呼吸窘迫综合征 

分 类 号：R722.12[医药卫生—儿科]