论文部分内容阅读
目的观察国产PS联合持续气道正压通气(NCPAP)治疗新生儿呼吸窘迫综合征(RDS)的疗效。方法收集2008年5月至2010年8月在我院NICU住院治疗的32例重症新生儿呼吸窘迫综合征患儿,临床资料,胎龄28~33周,体质量1100~1500 g。观察比较国产PS(柯立苏)联合NCPAP与未使用PS机械通气患儿主要血气指标,呼吸机参数,并发症与转归,氧疗时间,住院时间。结果两组患儿治疗前后FiO2、PaO2、PaCO2和氧合指数差异无统计学意义(P>0.05),治疗组肺炎发生率显著低于对照组(P<0.05),吸氧时间、住院时间、住院费用明显低于对照组(P<0.05)。结论 PS能较快地改善新生儿RDS氧合状况,PS联合NCPAP是治疗新生儿RDS的最佳选择。
Objective To observe the efficacy of domestic PS combined with continuous positive airway pressure (NCPAP) in the treatment of neonatal respiratory distress syndrome (RDS). Methods A total of 32 severe neonatal respiratory distress syndrome patients hospitalized in NICU from May 2008 to August 2010 were collected. The clinical data were from 28 to 33 weeks gestational age with body weight of 1100 to 1500 g. Observe and compare the main blood gas indexes, ventilator parameters, complication and outcome, oxygen therapy time and hospitalization time in domestic PS (Coleusu) combined with NCPAP and non-PS mechanical ventilation. Results There was no significant difference in FiO2, PaO2, PaCO2 and oxygenation index between the two groups before and after treatment (P> 0.05). The incidence of pneumonia in the treatment group was significantly lower than that in the control group (P0.05), oxygen inhalation time, hospital stay, Hospitalization costs were significantly lower than the control group (P <0.05). Conclusion PS can improve oxygenation status of neonates with RDS quickly, PS combined with NCPAP is the best choice for neonatal RDS.