高频振荡通气治疗30例新生儿气胸临床观察  

Clinical observation of 30 cases of neonatal pneumothorax treated by high frequency oscillatory ventilation

作　　者：郑启华 牛桂花 ZHENG Qihua;NIU Guihua(Department of Neonatology,Anhai Hospital of Jinjiang City,Quanzhou 362261,Fujian,China;Department of Neonatology,Hongsibao People’s Hospital,Wuzhong 751999,Ningxia,China)

机构地区：[1]晋江市安海医院新生儿科,福建泉州362261 [2]红寺堡区人民医院新生儿科,宁夏吴忠751999

出　　处：《延边大学医学学报》2024年第2期163-166,共4页Journal of Medical Science Yanbian University

摘　　要：[背景]观察高频振荡通气治疗新生儿气胸的临床疗效及安全性.[病例报告]选择2020年11月—2023年9月间红寺堡人民医院新生儿科收治的60例新生儿气胸患者作为研究对象,采用双盲法分为对照组(30例,常规治疗)和观察组(30例,高频振荡通气治疗),比较两组各项指标(临床指标、肺功能指标、血气指标).结果显示,对照组机械通气时间为(8.87±2.67)d,用氧总时间为(14.89±3.85)d,住院时间为(22.81±3.96)d;观察组机械通气时间为(6.51±1.29)d,用氧总时间为(13.56±2.97)d,住院时间为(20.66±2.14)d;相比较观察组的均明显短于对照组(t=6.897、6.497、7.581,P<0.05).[讨论]高频振荡通气治疗应用于新生儿气胸患者中可有效提高临床疗效.BACKGROUND To observe the clinical efficacy and safety of high frequency oscillatory ventilation in the treatment of neonatal pneumothorax.CASE REPORTS Sixty cases of neonatal pneumothorax admitted to the Neonatal Department of Hongsibao People’s Hospital from November 2020 to September 2023 were selected as the study objects.They were divided into control group(30 cases,conventional treatment)and observation group(30 cases,high frequency oscillatory ventilation treatment)by double-blind method,and the various indicators(clinical indicators,lung function indicators,blood gas indicators)of the two groups were compared.The results showed that in the control group,the mechanical ventilation time was(8.87±2.67)d,the total oxygen use time was(14.89±3.85)d,and the hospital stay was(22.81±3.96)d.In the observation group,the mechanical ventilation time was(6.51±1.29)d,the total oxygen use time was(13.56±2.97)d,and the hospital stay was(20.66±2.14)d.The results of observation group were significantly shorter than those of control group(t=6.897,6.497,7.581,P<0.05).DISCUSSION The application of high frequency oscillatory ventilation in neonatal pneumothorax can effectively improve clinical effect.

关 键 词：新生儿气胸 高频振荡通气 临床指标 肺功能指标 血气指标 住院时间 

分 类 号：R722.1[医药卫生—儿科]