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目的:研究经鼻持续气道正压通气在重型新生儿肺炎治疗中的疗效。方法:选择我院2014年1月-2016年7月重型新生儿肺炎患儿80例进行分组回顾分析。A组采取常规抗感染治疗,并给予头罩或鼻导管吸氧治疗,B组则在常规内科治疗基础上给予经鼻持续气道正压通气治疗。比较两组的治疗效果。结果:B组相较于A组重型新生儿肺炎治疗总有效率更高,呼吸困难、肺部啰音消失时间、心率复常时间更短,治疗24小时B组相较于A组血气分析指标、心率、呼吸改善更显著,P<0.05。结论:经鼻持续气道正压通气在重型新生儿肺炎治疗中的疗效确切,可有效促进患儿临床症状消退,改善血气指标,改善患儿预后,值得推广。
Objective: To study the efficacy of nasal continuous positive airway pressure ventilation in the treatment of severe neonatal pneumonia. Methods: 80 cases of children with severe neonatal pneumonia in our hospital from January 2014 to July 2016 were retrospectively analyzed. Group A received routine anti-infective therapy and were given oxygen inhalation on headgear or nasal cannula. Group B received nasal continuous positive airway pressure ventilation on the basis of routine medical treatment. Compare the treatment effect of two groups. Results: Compared with group A, pneumonia in group B had higher total effective rate, shorter breathing time, shorter duration of pulmonary rales, shorter heart rate, and 24 hours in group B compared with those in group A , Heart rate, respiration improved more significantly, P <0.05. CONCLUSIONS: Nasal continuous positive airway pressure ventilation is effective in the treatment of severe neonatal pneumonia, which can effectively promote clinical symptoms subsided, improve blood gas indexes and improve children’s prognosis, which is worthy of promotion.