无创辅助通气在新生儿呼吸窘迫综合征中应用的疗效分析.docVIP

精品论文 参考文献 无创辅助通气在新生儿呼吸窘迫综合征中应用的疗效分析 柴友存 　　四川省凉山州妇幼保健院　四川　凉山　６１５０００ 　　【摘要】　目的:探讨在新生儿呼吸窘迫综合征中采用无创辅助通气治疗的临床疗效.方法:随机选取我院２０１４年５月－２０１５年９月期间收治的新生儿窘迫综合征患儿４３例,随机分为对照组和治疗组,对照组患儿２１例,治疗组患儿２２例.观察组患儿采用无创辅助通气治疗,对照组患儿采用鼻塞持续气道正压通气法、单鼻导管低流量吸氧等传统的治疗方法进行氧疗.对两组患儿在气(管)插管中机械通气时间、肺表面活性物质用量、住院总费用、住院天数以及并发症发生率等指标进行比较.结果:两组患儿在气(管)插管中机械通气时间、肺表面活性物质用量、住院总费用以及住院天数进行对比,对照组患儿气(管)插管中肺表面活性物质用量、机械通气时间以及住院总费用均高于观察患儿,两组患儿之间的对比具有统计学意义(P＜０．０５).观察组患儿的并发症发生率为９．１％,对照组患儿的并发症发生率为４７．６％,两组患者间并发症发生率差异显著,对比具有统计学意义(p＜０．０５).结论:在新生儿呼吸窘迫综合征中采用无创辅助通气治疗不仅操作简单、方便,临床疗效显著,并发症发生率低,而且对患儿伤害小,可以明显的改变患儿的呼吸功能,减轻患儿家属的经济负担,缓解家人的担心,值得临床推广应用. 【关键词】　无创辅助通气　新生儿　呼吸窘迫综合征　临床疗效【Abstract】Objective:Toinvestigatetheclinicalefficacyofnoninvasiveventilationinthetreatmentofneonatalrespiratorydistresssyndrome．Methods:４３casesofneonataldistresssyndromewererandomlyselectedfromourhospital(２０１４年５月－２０１５年９月),dividedintocontrolgroupandtreatmentgroup,２１casesinthecontrolgroup,２２casesinthetreatmentgroup,casesinthetreatmentgroup．Theobservationgroupweretreatedwithnoninvasiveventilationtherapy,andthecontrolgroupwastreatedwithnasalcontinuouspositiveairwaypressureventilationmethod,andlowflowoxygeninhalationofsingleduct．Thegastubeintubationmechanicalventilationtime,dosageofpulmonarysurfactant,hospitalizationcost,hospitalstayandcomplicationsoccurrencerateandotherindicatorswerecomparedintwogroupsofchildren．Results:thetwogroupsofchildreninthegastubeintubationmechanicalventilationtime,dosageofpulmonarysurfactant,hospitalizationcostandlengthofhospitalstaywerecomparedandcontrolgroupwithgastubeintubationinpulmonarysurfactantdosage,durationofmechanicalventilationandhospitalcostswerehigherthanthoseobservedinchildren,thecontrastbetweenthetwogroupsofchildrenwithhasstatisticalsignificance(P＜０．０５)．TheincidenceofcomplicationsinobservaＧtiongroupwas９．１％,theincidenceofcomplicationsinthecontrolgroupwas４７．６％,theincidenceofcomplicationswassignificantlydifferentbetweenthetwogroups,thedifferencewasstatisticallysignificant(p＜０．０５)．Conclusion:inneonatalrespiratorydistresssyndrome,the