摘要
目的探讨经鼻持续气道正压通气(n-CPAP)治疗婴幼儿重症肺炎的疗效。方法 67例婴幼儿重症肺炎分为2组,32例采用n-CPAP治疗,另35例采用常规吸氧治疗,观察两组治疗前、后的临床表现、动脉血气及并发症。结果婴幼儿重症肺炎患儿采用n-CPAP治疗24 h后,心率、呼吸、危重症评分及血气分析指标改善均较常规吸氧治疗明显,差异均有统计学意义(P均<0.05);n-CPAP治疗还能缩短患儿心率、呼吸恢复时间及肺部体征消失时间,并可减少心功能不全、消化道出血等并发症的发生,两组间的差异均有统计学意义(P均<0.05)。结论 n-CPAP可快速有效地改善婴幼儿重症肺炎的临床症状,减少并发症发生。
Objective To investigate the efficacy of nasal continuous positive airway pressure （n-CPAP） treatment in infants and young children with severe pneumonia. Methods A total of 67 infants and young children with severe pneumo- nia were enrolled, 32 cases treated by n-CPAP and 35 cases treated with conventional oxygen, The clinical manifestations, arterial blood gas analysis and complications in the two groups before and after treatments were recorded and compared. Results After 24 hours treatment, heart rate, respiratory rate, critical illness score and arterial blood gas analysis were greatly improved in cases with n-CPAP than in cases with conventional oxygen （all P〈0.05）. Furthermore, compared with cases with conventional oxygen, heart rate and respiration rate improved pulmonary signs disappear were significantly shortened, the rate of complications like cardiac dysfunction and gastrointestinal bleeding were significantly reduced in cases with n-CPAP （all P〈0,05）. Conclusions For infants and young children with severe pneumonia, n-CPAP treatment can quickly and effectively improve the clinical symptoms and reduce the complications.
出处
《临床儿科杂志》
CAS
CSCD
北大核心
2013年第2期117-119,共3页
Journal of Clinical Pediatrics
关键词
肺炎
经鼻持续气道正压通气
婴幼儿
pneumonia
nasal continuous positive airway pressure ventilation
infants and young child
