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目的:探讨无创持续气道正压通气对新生儿呼吸衰竭的治疗效果。方法:本次病例对象为我院自2013年1月以来所收治的75例新生儿呼吸衰竭新生儿,按照随机抽样法将新生儿分为传统吸氧组和无创通气组。传统吸氧组行头罩吸氧;无创通气组行无创持续气道正压通气。评价:(1)抢救有效率;(2)治疗前后血氧饱和度、氧分压、二氧化碳分压;(3)有创机械通气率。结果:(1)无创通气组新生儿抢救有效率显著比传统吸氧组高,比较后差异显著,P<0﹒05;(2)无创通气组治疗后血氧饱和度、氧分压、二氧化碳分压显著比传统吸氧组好,比较后差异显著,P<0﹒05;(3)无创通气组有创机械通气率显著比传统吸氧组低,比较后差异显著,P<0﹒05。结论:无创持续气道正压通气对新生儿呼吸衰竭的治疗效果确切,可实现有效救治,快速改善新生儿血气分析,减少有创机械通气率,值得推广。
Objective: To investigate the therapeutic effect of non-invasive continuous positive airway pressure on neonatal respiratory failure. Methods: The 75 neonates with respiratory failure in our hospital since January 2013 were randomly divided into two groups: traditional oxygen inhalation group and noninvasive ventilation group. Conventional oxygen inhalation group head hood oxygen; non-invasive ventilation group non-invasive continuous positive airway pressure. Evaluation: (1) salvage efficiency; (2) before and after treatment of oxygen saturation, oxygen partial pressure, partial pressure of carbon dioxide; (3) invasive mechanical ventilation rate. Results: (1) The efficiency of neonatal rescue in noninvasive ventilation group was significantly higher than that in traditional oxygen inhalation group (P <0.05). (2) The oxygen saturation, oxygen partial pressure, carbon dioxide P <0.05). (3) The invasive mechanical ventilation rate in non-invasive ventilation group was significantly lower than that in traditional oxygen-absorbing group, and the difference was significant after P <0.05 . Conclusion: Noninvasive continuous positive airway pressure ventilation is effective in treating neonatal respiratory failure, which can effectively treat and quickly improve neonatal blood gas analysis and reduce the invasive mechanical ventilation rate, which is worthy of promotion.