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目的:研究在呼吸机辅助呼吸下采取俯卧位通气在抢救新生儿呼吸窘迫综合征(NRDS)中的应用价值。方法:将50例应用呼吸机辅助呼吸下的NRDS患儿随机分成实验组和对照组,实验组(25例)在呼吸机治疗1 h后采用俯卧位通气,1次/4 h,每次治疗1 h;对照组(25例)使用常规的仰卧位通气,俯卧位通气治疗后1、2、3、4小时,两组患儿各做血气分析,观察相同时间的氧合状态、血流动力学及并发症。结果:两组血流动力学指标对比差异无统计学意义(P>0.05),但实验组Pa O2和Pa O2/Fi O2明显高于对照组,两组比较,差异有统计学意义(P<0.05)。结论:NRDS患儿在机械通气治疗中采用俯卧位呼吸明显提高了通气效果,缩短了上机时间,降低了近期死亡率,减少了吸痰次数,头枕部压疮发生情况减少。
Objective: To study the value of prone position ventilation in the rescue of neonatal respiratory distress syndrome (NRDS) under ventilator-assisted respiration. Methods: Fifty children with NRDS under ventilator-assisted breathing were randomly divided into experimental group and control group. The experimental group (n = 25) received prone ventilation at 1 h after ventilator treatment, once / 4 h, and each treatment 1 h; control group (n = 25) received routine supine position ventilation, prone position ventilation 1, 2, 3, and 4 hours after treatment. Blood gases were analyzed in both groups to observe the oxygenation status and hemodynamic Learn and complications. Results: There was no significant difference in hemodynamics between the two groups (P> 0.05), but Pa O2 and Pa O2 / Fi O2 in the experimental group were significantly higher than those in the control group, with significant difference between the two groups (P < 0.05). CONCLUSIONS: Adopting prone breathing in mechanical ventilation in NRDS patients significantly improves the ventilation effect, shortens the time on the machine, reduces the recent mortality, reduces the number of sputum aspiration, and reduces the occurrence of pressure ulcers in the head and neck.