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目的探讨呼吸机经鼻CPAP(NCPAP)治疗新生儿呼吸窘迫综合征(NRDS)的临床效果。方法回顾性分析过去2年内我科收治的58例NRDS中应用NCPAP治疗患儿的临床症状、体征、并发症、胸部X线改变,阐述NCPAP治疗的体会。结果经NCPAP治疗的RDS患儿10～20min发绀减轻42例,呼吸困难2d后缓解18例,临床症状好转快,吸氧时间短平均48～72h。结论 NCPAP治疗NRDS可短时间内改善乏氧症状,缩短病程,降低合并症。
Objective To investigate the clinical effect of nasal CPAP (NCPAP) on ventilator nasal respiratory distress syndrome (NRDS). Methods The clinical symptoms, signs, complications and chest X-ray findings of 58 children with NRDS treated with NCPAP in the past two years were retrospectively analyzed. The experience of NCPAP treatment was analyzed. Results The NCPAP-treated children with RDS had cyanosis reduced by 42% in 10 ~ 20min and 18 cases with dyspnea after 2d. The clinical symptoms improved quickly and the oxygen inhalation time was shortened by an average of 48 ~ 72h. Conclusion NCPAP treatment of NRDS can improve hypoxia symptoms within a short period of time, shorten the course of disease and reduce the complication.