高频呼吸机联合止血在新生儿肺出血治疗效果评价.docVIP

高频呼吸机联合止血在新生儿肺出血治疗效果评价 　　[摘要] 目的 观察与探究高频呼吸机联合止血药物在新生儿肺出血治疗效果。方法 方便选取2014年3月―2017年3月期间于该院就诊及治疗的60例肺出血新生儿作为研究对象，按照随机数字表法分为两组，每组各有30例新生儿，对对照组新生儿给予常规的机械通气联合止血药物治疗，对观察组新生儿给予高频呼吸机联合止血药物治疗，对比并分析两组新生儿的效果。结果 观察组新生儿的治疗总有效率（93.33%）与对照组新生儿（66.67%）相对比，组间差异有统计学意义（P0.05），观察组新生儿的肺出血停止时间、呼吸机使用天数分别为（5.70±1.46）、（36.12±13.05）d，与对照组新生儿的（15.51±4.50）、（54.02±20.03）d相对比，组间差异有统计学意义（P0.05），观察组新生儿的呼吸机相关性肺炎、颅内出血、血糖异常、消化道出血、气胸、肾损伤等并发症总发生率（6.67%）与对照组新生儿（26.67%）相对比，组间差异有统计学意义（P0.05）。结论 对肺出血新生儿应用高频呼吸机联合止血药物治疗的效果较好。 　　[关键词] 高频呼吸机；止血药物；新生儿；肺出血；治疗效果 　　[中图分类号] R722 [文献标识码] A [文章编号] 1674-0742（2017）09（c）-0071-03 　　Evaluation on Effect of High Frequency Ventilator and Hemostasis in Treatment of Pulmonary Hemorrhage of Newborns 　　PENG Hai-yan， LIU Jin-jun， ZENG Fang 　　Department of Pediatrics， Ganmei International Hospital Kunming First People’s Hospital， Kunming， Yunnan Province， 650000 China 　　[Abstract] Objective To observe and study the effect of high frequency ventilator and hemostasis in treatment of pulmonary hemorrhage of newborns. Methods 60 cases of newborns with pulmonary hemorrhage diagnosed and treated in our hospital from March 2014 to March 2017 were convenient selected and randomly divided into two groups with 30 cases in each， the control group adopted the routine mechanical ventilation and mechanical ventilation， while the observation group were treated with high frequency ventilator and hemostasis， and the effect of the two groups was compared and analyzed. Results The difference in the total treatment effective rate between the observation group and the control group was obvious， （93.33% vs 66.67%）（P0.05）， and the differences in the pulmonary hemorrhage stopping time and ventilator duration between the observation group and the control group were obvious， [（5.70±1.46），（36.12±13.05）d vs （15.51±4.50），（54.02±20.03）d]（P0.05）， and the difference in the total incidence rate of complications such as ventilator associated pneumonia， intracranial hemorrhage， abnormal blood sugar， digest