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目的观察和比较仰卧位与俯卧位氧气吸入治疗对新生儿肺炎患儿氧合功能的影响。方法将72例新生儿肺炎患儿随机分为2组,仰卧位组(n=36例)采用仰卧位氧气吸入治疗,俯卧位组(n=36例)采用俯卧位氧气吸入治疗,比较2组患儿治疗前后PaO_2、PaO_2/FiO_2、PaO_2/PAO_2、A-aDO_2、PaCO_2、RR等氧合功能指标变化。结果 2组患儿治疗后PaO_2、PaO_2/FiO_2、PaO_2/PAO_2、AaDO_2等指标均明显好转(P<0.05),且俯卧位组患儿上述指标改善更为显著(P<0.05),而PaCO_2、RR比较差异无统计学意义(P>0.05);2组患儿进行氧气吸入治疗期间均未见明显不良反应。结论俯卧位氧气吸入治疗可明显提高新生儿肺炎患儿的氧合指数,是改善氧合功能的适宜体位。
Objective To observe and compare the effects of supine and prone oxygen inhalation on oxygenation in children with neonatal pneumonia. Methods Seventy-two neonates with pneumonia were randomly divided into two groups: supine position (n = 36), supine oxygen inhalation, prone position (n = 36) PaO2, PaO 2 / FiO 2, PaO 2 / PAO 2, A-aDO 2, PaCO 2 and RR were measured before and after treatment in children. Results After treatment, PaO_2, PaO_2 / FiO_2, PaO_2 / PAO_2 and AaDO_2 were significantly improved in both groups (P <0.05), and those in prone position improved more significantly (P <0.05) There was no significant difference in RR between the two groups (P> 0.05). No adverse reactions were observed in the two groups during oxygen inhalation. Conclusion Supine oxygen inhalation therapy can significantly improve neonatal pneumonia in children with oxygenation index, is to improve the oxygenation function of the appropriate position.