摘要
目的 探讨利用呼吸机改良鼻塞持续气道正压(CPAP)治疗新生儿呼吸衰竭临床效果及应用价值。方法 将1998年10月～2001年11月我院新生儿重症监护病房(NICU)收治的急性呼吸衰竭54例(治疗组),利用呼吸机改良鼻塞CPAP治疗,并与1996年1月～1998年9月未采用该方法治疗的62例(对照组)的治疗效果进行分析对比。结果 治疗组治疗后PaO_2、SaO_2比治疗前明显提高(P<0.01),PaCO_2与治疗前比较无显著性差异(P>0.05);治疗组的治愈率明显高于对照组,死亡率明显低于对照组(P<0.01)。结论 利用呼吸机改良鼻塞CPAP治疗新生儿呼吸衰竭,疗效好,并发症少;正确掌握改良鼻塞CPAP的应用时机及方法,可减少对机械通气的需要,能明显改善预后。
Objective To explore the clinical value of using continuous positive airway pressure (CPAP) through modified nasal tube in treating acute respiratory failure in newborns. Methods 54 cases of acute respiratory failure in newborns received CPAP in neonate intensive care unit (NICU) and the curative effects were compared with those in the contrast group of 62 cases treated in other ways from Jan. 1996 to Sept. 1998. Results The contents of PaO2 and SaO2 were greatly improved( P <0.01),while the content of PaCO2 showed no significant difference( P >0.05) in contrast to those in the control group. The curative effects were much higher and the death rates much lower in the treatment group than in the contrast group( P <0.0l). Conclusion good curative effects can be obtained and complications can be reduced in this way. Appropriate treatment time and methods can be of great value in reducing the needs for mechanical ventilation and in greatly improving prognosis.
出处
《临沂医学专科学校学报》
2003年第6期413-416,共4页
Journal of Linyi Medical College
基金
临沂市科技发展计划项目(编号:9921313)
