无创CPAP在婴儿重症肺炎中应用.docVIP

无创CPAP在婴儿重症肺炎中应用 　　【摘要】 目的 研究在治疗婴儿重症肺炎中采取无创持续气道正压通气（CPAP）的临床效果。方法 56例婴儿重症肺炎患儿采用抽签法随机分为参照组与实验组， 每组28例。参照组患儿采用常规治疗， 实验组患儿采用无创CPAP治疗， 分析对比两组患儿经不同治疗后临床效果。结果 实验组患儿临床治疗总有效率为96.43%， 显著高于参照组的75.00%， 差异具有统计学意义（P0.05）。??验组患儿呼吸困难消失时间（0.89±0.08）d、肺部??音消失时间（5.24±0.65）d、动脉血氧分压（PaO2）（98.65±3.25）mm Hg（1 mm Hg=0.133 kPa）、动脉血氧饱和度（SaO2）（97.62±3.56）mm Hg均明显优于参照组的（2.21±0.09）d、（7.11±0.44）d、（79.64±4.21）mm Hg、（84.21±4.38）mm Hg， 差异具有统计学意义（P0.05）。结论 将无创CPAP治疗应用在婴儿重症肺炎中具有显著疗效， 可以有效改善患儿呼吸情况以及血气情况， 具备广泛应用的价值。 　　【关键词】 无创持续气道正压通气；婴儿重症肺炎；效果 　　DOI：10.14163/j.cnki.11-5547/r.2017.08.026 　　【Abstract】 Objective To research clinical effect by noninvasive continuous positive airway pressure （CPAP） in infantile severe pneumonia. Methods A total of 56 infantile severe pneumonia patients were randomly divided into control group and experimental group， with 28 cases in each group. The control group received conventional treatment， and the experimental group received noninvasive CPAP for treatment. Comparison was made on clinical effects between the two groups after different treatment measures. Results The experimental group had obviously higher total effective rate in clinical treatment as 96.43% than 75.00% in the control group， and their difference had statistical significance （P0.05）. The experimental group had dyspnea disappearance time as （0.89±0.08） d， lung rale disappearance time as （5.24±0.65） d， arterial partial pressure of oxygen （PaO2） as （98.65±3.25） mm Hg （1 mm Hg=0.133 kPa）， and arterial oxygen saturation （SaO2） as （97.62±3.56） mm Hg， which were all better than （2.21±0.09） d， （7.11±0.44） d， （79.64±4.21） mm Hg and （84.21±4.38） mm Hg in the control group， and their difference had statistical significance （P0.05）. Conclusion Implement of noninvasive CPAP in infantile severe pneumonia shows excellent curative effect. This method can effectively improve breath and blood gas condition， and it contains value for wide application. 　　【Key words】 Noninvasive continuous positive airway pressure； In