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目的分析早期机械通气治疗重症手足口病的临床疗效。方法 60例重症手足口病患儿随机分为对照组和观察组,各30例,对照组患儿根据传统呼吸机指征上呼吸机,观察组予早期机械通气,治疗前后观察患者症状、体征改善情况,观察两组患儿临床治疗效果及临床预后。结果观察组的治愈率93.33%明显高于对照组53.33%,观察组死亡率为0明显低于对照组36.67%,差异均具有统计学意义(χ2=12.273和13.469,P<0.05)。结论早期机械通气提高了重症手足口病的救治成功率,有效改善低氧血症及循环功能,降低危重症手足口患儿病死率,改善临床预后,值得临床推广使用。
Objective To analyze the clinical effect of early mechanical ventilation on severe hand-foot-mouth disease. Methods Sixty children with severe hand-foot-mouth disease were randomly divided into control group and observation group, with 30 cases in each group. The control group received mechanical ventilation according to the traditional ventilator, the observation group received mechanical ventilation before and after treatment, and the symptoms and signs To improve the situation, observe the clinical efficacy and clinical prognosis of two groups of children. Results The cure rate in the observation group was 93.33%, which was significantly higher than that in the control group (53.33%). The mortality rate in the observation group was significantly lower than that in the control group (36.67%). The differences were statistically significant (χ2 = 12.273 and 13.469, P <0.05). Conclusion Early mechanical ventilation improves the success rate of treatment of severe HFMD, effectively improves hypoxemia and circulatory function, reduces the mortality of critically ill patients with hand-foot mouth and improves clinical prognosis, which is worthy of clinical promotion.