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目的:为了探讨呼吸机治疗新生儿呼吸衰竭的疗效。方法 :回顾性地总结了近二年的应用情况并进行对比研究。结果 :1999年(甲组)的病死率(48.39 %)较1998年(乙组)的(73.33 %)明显下降(χ2=3.98,P<0.05)。甲、乙两组年龄、体重、胎龄无显著性差异。插管时间、呼吸机使用时间和上机前血气也无显著性差异。治愈组与病死组患儿相比年龄小、体重重、胎龄大 ,有显著性差异,P均<0.01。插管时间治愈组的患儿平均为1.09d ,早于病死组的3.54d ,P<0.01。结论 :早插管、加强临床医师、护理人员的培训和综合治疗是呼吸机应用成功的重要因素
Objective: To investigate the efficacy of ventilator in neonatal respiratory failure. Methods: Retrospectively summarized the application of the past two years and make a comparative study. Results: The mortality rate in group A (48.39%) in 1999 was significantly lower than that in group B (73.33%) in 1998 (χ2 = 3.98, P <0.05). A, B two groups of age, weight, gestational age no significant difference. Intubation time, ventilator use time and blood gas before the machine was no significant difference. There were significant differences in age, weight, gestational age between the cured group and the dead group (P <0.01). The average time of intubation-cured children was 1.09 days, which was earlier than that of the dead patients (P <0.01). Conclusion: Early intubation, to enhance the training of clinicians, nurses and comprehensive treatment is an important factor in the success of ventilator applications