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目的探讨CPAP技术治疗新生儿呼吸窘迫综合征临床效果。方法选取新生儿呼吸窘迫综合征患儿90例,采用数字表抽取法随机分组,应用CPAP技术组(A组)30例、常规氧疗组(B组)30例、常规机械通气组(C组)30例,对治疗前、治疗6、12、24 h血气指标进行对比,并比较临床效果、不良反应率等。结果治疗后A组患儿Tc SO2、Pa O2及Pa CO2与B、C组患儿相比改善更为显著,差异均有统计学意义(P<0.05)。A组患儿治疗总有效率90.0%明显高于B组的46.7%和C组的50.0%,差异有统计学意义(P<0.05)。结论采用CPAP技术治疗,在改善血气指标、提高临床总有效率方面价值显著,且具较高安全性,有理想的推广应用价值。
Objective To investigate the clinical effect of CPAP on neonatal respiratory distress syndrome. Methods Totally 90 infants with respiratory distress syndrome were selected and randomly divided into three groups according to the digital table extraction method. 30 cases of CPAP group (group A), 30 cases of conventional oxygen therapy group (group B) and 30 cases of conventional mechanical ventilation group (group C) ) 30 cases, before treatment, treatment of 6,12,24 h blood gas indicators were compared, and compare the clinical effect, adverse reaction rate. Results After treatment, Tc SO2, Pa O2 and Pa CO2 in group A were significantly improved compared with those in group B and C (all P <0.05). The total effective rate of treatment group A was significantly higher than that of group B (90.0% vs. 46.7%) and group C (50.0%) (P <0.05). Conclusions The CPAP technique has significant value in improving blood gas index and improving the total clinical efficiency, and has high safety and ideal value for popularization and application.