摘要
目的探讨经鼻持续气道正压通气（NCPAP）辅助治疗毛细支气管炎的疗效。方法将2010年1月~2013年12月收治的98例毛细支气管炎患儿,随机分为两组,治疗组（n=50）在综合治疗基础上给予NCPAP辅助吸氧治疗,对照组（n=48）在综合治疗基础上给予鼻导管或头罩吸氧。观察对比两组患儿的疗效以及咳嗽消失时间、喘憋消失时间、肺部啰音消失时间、住院天数。结果治疗组总有效率为94.0%,对照组总有效率为77.1%,两组比较差异有统计学意义（P〈0.05）;治疗组咳嗽消失时间、喘憋消失时间、肺部啰音消失时间及住院天数均较对照组明显缩短（P〈0.01）。结论 NCPAP辅助治疗毛细支气管炎疗效显著,能提高毛细支气管炎的治愈率,缩短病程及住院时间,值得临床推广应用。
Objective To investigate efficacy of the nasal continuous positive airway pressure （NCPAP） in adjuvant treatment of bronehiolitis.Methods 98 cases of bronchiolitis, who were treated in our hospital from January, 2010 to December,2013 ,were randomly divided into treatment group（ n = 50）and control group （48）. The treatment group were given NCPAP auxiliary oxygen treatment based on comprehensive treatment, while the eontrol group were given usual oxygen treat- ment by nasal catheter or hood based on comprehensive treatment.Then, curative effects, disappearance time of cough, asthmatic suffocation and lung tale as well as hospital stays of the two groups were observed and compared.Results Total effective rate of the treatment group was 94%, and that of the control group was 77.1%, so the difference between the two groups was statistically significant（ P 〈0. 05 ）.Disappearance time of cough, asthmatic suffocation and lung rale as well as hospital stays of the treatment group were significantly shorter than those of the control group （ P 〈 0. 01 ）. Conclusion NCPAP has positive effect on adjuvant treatment of bronehiolitis. It can improve cure rate of bronehiolitis, shorten course of disease and length of hospital stays, which is worthy of applying and spreading in clinic.
出处
《右江医学》
2015年第1期46-48,共3页
Chinese Youjiang Medical Journal
