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目的:探讨新型鼻塞式持续气道正压呼吸(CPAP)对新生儿呼吸衰竭的疗效。方法:滕州市中心人民医院新生儿重症监护科住院的32例不同原因引起的新生儿呼吸衰竭患儿使用新型鼻塞式CPAP进行治疗,比较入院时和治疗1h后临床情况(神志、呼吸频率、心率)和动脉血气(pH、PaO2、PaCO2、SaO2)。结果:经CPAP治疗1h后PaO2明显升高(P<0.05),临床观察指标亦明显好转,PaCO2无明显降低(P>0.05)。结论:新型鼻塞式CPAP治疗新生儿呼吸衰竭效果明显,具有无创伤、结构简单、操作容易、价廉、疗效显著等优点,是治疗新生儿呼吸衰竭的一项有效方法,值得在基层推广应用。
Objective: To investigate the effect of nasal continuous positive airway pressure (CPAP) on neonatal respiratory failure. Methods: Thirty-two neonates with respiratory failure caused by different causes were treated with new nasal CPAP in 32 patients admitted to Department of Neonatal Intensive Care, Tengzhou Central People’s Hospital. The clinical situation (consciousness, respiratory rate, heart rate ) And arterial blood gas (pH, PaO2, PaCO2, SaO2). Results: After 1 h of CPAP treatment, the PaO2 was significantly increased (P <0.05), and the clinical observation indicators also significantly improved, PaCO2 was not significantly reduced (P> 0.05). Conclusion: The new nasal CPAP is effective in treating neonatal respiratory failure. It has the advantages of non-invasiveness, simple structure, easy operation, low cost and significant curative effect. It is an effective method to treat neonatal respiratory failure and should be promoted and applied at the grassroots level.