经鼻间歇正压通气在新生儿严重高碳酸血症中的应用价值.pdfVIP

窑478 窑 2015年4月第22卷第4期 窑论著窑 渊护理研究冤 经鼻间歇正压通气在新生儿严重高碳酸血症中的应用价值 陈兰珍袁 邱惠仙袁 叶丽芹 渊深圳市人民医院儿科袁 广东深圳 518020冤 揖摘要铱 目的 探讨经鼻间歇正压通气 渊晕陨孕孕灾冤 治疗新生儿严重高碳酸血症的疗效 方法 将我院员远愿例新生儿严重高碳酸 血症患者随机分成间歇组和机械组各愿源例袁 间歇组在基础处理的基础上采用晕陨孕孕灾治疗袁 机械组采用机械通气治疗袁 两组均给 予全面护理 观察两组患儿治疗前袁 治疗后圆澡及 员圆澡的动脉血气指标 渊责匀 孕葬悦韵圆 孕葬韵冤袁 并分析两组患儿的脑血流指标圆 渊灾泽 灾凿 杂辕阅 砸陨 孕陨冤 的情况 结果 两组的通气时间 治疗前后的动脉血气指标 脑血流指标相比差异均无统计学意义 渊孕 跃园援园缘冤袁 但两组治疗后圆澡及员圆澡的动脉血气指标均明显改善 渊孕 约园援园缘冤 间歇组的并发症发生率为员援员怨豫袁 显著低于机械组的 愿援猿猿豫袁 差异有统计学意义 渊孕 约园援园缘冤 结论 晕陨孕孕灾治疗新生儿严重高碳酸血症疗效显著袁 并发症少袁 具有较高的临床价值 揖关键词铱 高碳酸血症曰 新生儿曰 经鼻间歇正压通气 中图分类号院 R473.72 文献标识码院粤 doi:10.3969/j.issn.1674 4659.2015.04.0478 ApplicationValueofNasalIntermittentPositivePressureVentilationinNeonatalSevereHypercapnia CHENLanzhen,QIUHuixian,YELiqin (DepartmentofPediatrics,ShenzhenPeoplesHospital,Shenzhen518020,China) [Abstract] Objective To study the effect of nasal intermittent positive pressure ventilation (NIPPV) in the treatment of neonatal severe hypercapnia. Methods 168 cases of children with severe hypercapnia were randomly divided into intermittent group and mechanical group, with 84 cases in each group. The intermittent group was given NIPPV on the basis of foundation treatment, the mechanical group was given mechanical ventilation, all patients received comprehensive nursing. The arterial blood gas indexes (including pH, PaCO , PaO ) before 2 2 treatment, after 2 h and 12 h of treatment between two groups were observed, the cerebral hemodynamic indexes (including Vs, Vd, S/D, RI, PI) were analyzed. Results The duration of ventilation, arterial blood gas indexes before and after treatment, cerebral hemodynamic indexes between two groups had no statistical difference (P0.05), but the arterial