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目的探讨早期持续气道正压通气(CPAP)对于小儿重症肺炎并呼衰中的治疗效果,评价其临床应用价值。方法对于2010年10月-2011年12月在医院进行治疗的68例小儿重症肺炎合并呼衰患者,随机分为两组,观察组患者采用CPAP治疗,对照组患者采用鼻道管吸氧,对两组患者的有效率、呼吸改善、气促、紫绀、血气情况及住院时间等进行比较。结果观察组患者的有效率高于对照组,两组间差异具有统计学意义(P<0.05);观察组患者的PaO2及SaO2水平明显高于对照组患者,两组间差异具有统计学意义(P<0.05);观察组患者的缺氧、改善呼吸、住院时间等均好于对照组,两组间差异具有统计学意义(P<0.05)。结论早期持续CPAP对于小儿重症肺炎并呼衰中的治疗效果较好,不仅能够改善患者的缺氧及呼吸情况,同时能够缩短患者的住院时间,具有很好的临床应用价值。
Objective To investigate the therapeutic effect of early continuous positive airway pressure (CPAP) on respiratory failure in children with severe pneumonia and evaluate its clinical value. Methods Sixty-eight children with severe pneumonia complicated with respiratory failure who were treated in the hospital from October 2010 to December 2011 were randomly divided into two groups. The observation group was treated with CPAP while the control group was treated with nasal tube oxygenation. The effectiveness of two groups of patients, respiratory improvement, shortness of breath, cyanosis, blood gas and hospital stay were compared. Results The effective rate of the observation group was higher than that of the control group, with significant difference between the two groups (P <0.05). PaO2 and SaO2 levels in the observation group were significantly higher than those in the control group, with significant difference between the two groups P <0.05). The hypoxia, respiration and hospital stay in the observation group were better than those in the control group. There was significant difference between the two groups (P <0.05). CONCLUSION: CPAP is an effective treatment for severe pneumonia and respiratory failure in children. It can not only improve the patients’ hypoxia and respiration, but also shorten the length of hospital stay and have a good clinical value.