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目的观察HFOV治疗新生儿肺出血的疗效。方法将46例新生儿肺出血患儿分为2组,每组23例,在综合治疗基础上,治疗组采用HFOV治疗,对照组采用常频机械通气治疗。结果治疗组存活患儿治疗后1、6、24h OI明显降低,a/APO2显著升高,其差异具有统计学意义(P<0.05);治疗组在肺出血时间、机械通气时间均较对照组缩短,其差异具有统计学意义(P<0.05)。结论 HFOV可显著改善新生儿肺出血患儿的肺氧合功能,缩短病程,改善预后。
Objective To observe the curative effect of HFOV on neonatal pulmonary hemorrhage. Methods 46 cases of neonatal pulmonary hemorrhage were divided into two groups, 23 cases in each group. On the basis of comprehensive treatment, the treatment group was treated with HFOV and the control group was treated with the conventional mechanical ventilation. Results The OI at 1, 6 and 24 hours after treatment in the treatment group was significantly lower and a / APO2 was significantly higher (P <0.05). The duration of pulmonary hemorrhage and mechanical ventilation in the treatment group were significantly higher than those in the control group Shortened, the difference was statistically significant (P <0.05). Conclusion HFOV can significantly improve pulmonary oxygenation in neonates with pulmonary hemorrhage, shorten the course of disease and improve the prognosis.