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目的探讨非侵入性正压通气治疗儿童急性呼吸衰竭的临床疗效。方法回顾性分析2011年11月至2014年4月来铜仁市人民医院治疗的120例儿童急性呼吸衰竭患者的临床资料,将其随机分成观察组和对照组,每组60例,观察组采用非侵入性正压通气进行治疗,而对照组则采用常规氧疗,分析对比两组患者治疗的有效率、症状缓解时间、动脉血气以及住院时间等指标。结果观察组总有效率和症状缓解时间明显优于对照组,差异有统计学意义(P<0.05);治疗后两组动脉血氧分压(Pa O2)、动脉血二氧化碳分压(Pa CO2)以及住院时间比较差异有统计学意义(P>0.05)。结论非侵入性正压通气治疗儿童急性呼吸衰竭具有有效改善呼吸功能缓解急性呼吸衰竭症状等优点,值得临床大力推广。
Objective To investigate the clinical efficacy of non-invasive positive pressure ventilation in the treatment of acute respiratory failure in children. Methods The clinical data of 120 children with acute respiratory failure treated in Tongren People’s Hospital from November 2011 to April 2014 were retrospectively analyzed. They were randomly divided into observation group and control group, with 60 cases in each group. Invasive positive pressure ventilation for the treatment, while the control group was treated with conventional oxygen therapy, analysis of the two groups of patients treated with efficiency, symptom relief time, arterial blood gas and hospital stay and other indicators. Results The total effective rate and the time to relieve symptoms in the observation group were significantly better than those in the control group (P <0.05). After treatment, PaO2, PaCO2, As well as the difference in hospitalization time was statistically significant (P> 0.05). Conclusion Noninvasive positive pressure ventilation in children with acute respiratory failure has the advantages of effectively improving respiratory function and relieving the symptoms of acute respiratory failure, which is worthy of clinical promotion.