探讨纳洛酮联合氨茶碱治疗小儿呼吸衰竭的临床效果.docVIP

精品论文 参考文献 探讨纳洛酮联合氨茶碱治疗小儿呼吸衰竭的临床效果 大庆油田总医院 163000 【摘 要】目的：研究并探讨纳洛酮联合氨茶碱对小儿呼吸衰竭治疗过程中的临床效果与安全性。方法：此次研究的对象是选择100例呼吸衰竭患儿，将其临床资料进行回顾性分析，并随机分为两组，每组50例，分别作为观察组和对照组。在治疗中，两组采用同样的常规综合治疗，观察组在此基础上增加纳洛酮联合氨茶碱配合治疗。结果：观察组的有效率为90.0%，比对照组的72.5%高出17.5个百分点（Plt;0.05）。观察组对呼吸衰竭症状以及血气分析的氧分压缓解情况较对照组更优（Plt;0.05）。结论：纳洛酮联合氨茶碱治疗小儿呼吸衰竭效果明显，在紧急治疗的过程中可以考虑使用纳洛酮联合氨茶碱联合治疗法进行抢救措施。且具有的不良反应较少，具有安全可靠的特点，可以进行临床推广与应用。 【关键词】纳洛酮联合氨茶碱；小儿呼吸衰竭；效果分析 Abstract：Objective：To study and investigate the effect of naloxone combined with aminophylline on the clinical effect and safety in the treatment of respiratory failure in children.Methods：the object of this study is to select 100 cases of respiratory failure，the clinical data were retrospectively analyzed，and randomly divided into two groups，each group of 50 cases，respectively，as the observation group and the control group.In the treatment，the two groups using the same routine treatment，the observation group based on the increase of aminophylline plus naloxone treatment.Results：the effective rate of the observation group was 17.5，72.5% percentage points higher than that of the control group（Plt;0.05）.Compared with the control group，the oxygen partial pressure of the observation group to the respiratory failure symptoms and blood gas analysis was better than that of the control group（Plt;0.05）.Conclusion：naloxone combined with aminophylline in the treatment of respiratory failure has obvious effect，in the process of emergency treatment can be carried out using the rescue measures of naloxone combined with aminophylline treatment method considering.And has less adverse reactions，with the characteristics of safety and reliability，can be used for clinical promotion and application. Keywords：naloxone and aminophylline in children；respiratory failure；effect analysis 小儿呼吸衰竭是婴幼儿死亡的常见原因，死亡率极高，一般常见于3岁以下婴幼儿。急性呼吸衰竭是呼吸系统和非呼吸系统疾病所致呼吸中枢和/或呼吸器官病变引起通气和换气功能障碍，由此产生一系列生理功能和代谢紊乱的一种临床综合征。小儿呼吸衰竭常见病因为严重肺部感染、哮喘持续状态、新生儿窒息、新生儿肺透明膜病等，是危及婴幼儿生命的重症疾病之一，所以对急性呼吸衰竭的早期诊断与治疗非常重要。我们对我院收治