N―CPAP在早产儿RDS及新生儿呼吸衰竭中临床应用.docVIP

N―CPAP在早产儿RDS及新生儿呼吸衰竭中临床应用 　　【摘要】 目的：探讨N-CPAP（经鼻持续气道正压通气）在早产儿RDS（呼吸窘迫综合征）及新生儿呼吸衰竭中的临床应用效果。方法：选取笔者所在医院新生儿科2016年5月-2017年5月收治的51例早产儿RDS及新生儿呼吸衰竭患儿作为研究对象，对所有患儿均实施常规治疗，并在此基础上采用N-CPAP治疗，观察治疗前和治疗后不同时间患儿呼吸频率和动脉血气指标的变化情况。结果：51例患儿经过N-CPAP治疗，48例治疗成功，治疗的成功率为94.12%，3例患儿行气管插管辅助机械通气治疗，占比为5.88%；与治疗前相比，治疗后不同时间患儿的各项指标改善明显，差异有统计学意义（P0.05）。结论：对早产儿RDS及新生儿呼吸衰竭患儿采用N-CPAP治疗，可以取得满意的治疗效果，值得临床推广。 　　【关键词】 N-CPAP； 早产儿呼吸窘迫综合征； 新生儿呼吸衰竭； 应用效果 　　doi：10.14033/ki.cfmr.2018.8.015 文献标识码 B 文章编号 1674-6805（2018）08-0032-02 　　Clinical Application of N-CPAP in RDS and Neonatal Respiratory Failure in Premature Infants/YANG Zhiyun，ZHANG Yong.//Chinese and Foreign Medical Research，2018，16（8）：32-33 　　【Abstract】 Objective：To investigate the clinical effect of N-CPAP（nasal continuous positive airway pressure） in RDS（respiratory distress syndrome） and neonatal respiratory failure in preterm infants.Method：Fifty-one children with RDS and neonatal respiratory failure were enrolled in our hospital from May 2016 to May 2017.All the children were treated with routine therapy.On this basis，N-CPAP was used to observe the changes of respiratory rate and arterial blood gas at different time points before and after treatment.Result：51 patients were treated with N-CPAP，48 patients were successfully treated，the success rate was 94.12%，and 3 cases were treated with tracheal intubation assisted mechanical ventilation，accounting for 5.88%.Compared with before treatment，the improvement of the indexes in children at different time after treatment were more and more obvious，which were statistically significant（P0.05）.Conclusion：N-CPAP treatment for children with RDS in premature infants and neonatal respiratory failure can obtain satisfactory therapeutic effect and is worth clinical promotion. 　　【Key words】 N-CPAP； Premature children respiratory distress syndrome； Neonatal respiratory failure； Application effect 　　First-author’s address：Dali University Affiliated Hospital，Dali 671000，China 　　在?R床上，早产儿RDS及新生儿呼吸衰竭十分常见，治疗的关键就是尽