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目的分析经鼻持续气道正压通气在重型新生儿肺炎治疗中的效果。方法收集我院2014年1月~2015年1月收住的重型新生儿肺炎患者90例,按随机数字表法分为观察组和对照组,对应数字为偶数者为观察组,奇数者为对照组,每组45例。两组患者均给予包括抗感染等在内的综合治疗,此外对照组给予鼻导管吸氧或头罩吸氧,观察组应用经鼻持续气道正压通气治疗,比较两组治疗前后的临床表现、血气分析及并发症。结果观察组经气道正压通气治疗24 h后呼吸、心率、危重症评分较对照组改善更明显(P<0.05),血气分析指标24h后亦较对照组改善更明显(P<0.05),呼吸困难缓解时间、心率恢复正常时间、肺部啰音消失时间明显短于对照组(P<0.05)。结论经鼻持续气道正压通气在治疗重型新生儿肺炎具有较好的临床疗效,操作简单、经济实用、缩短病程,值得临床推广应用。
Objective To analyze the effect of nasal continuous positive airway pressure ventilation in the treatment of severe neonatal pneumonia. Methods Ninety patients with severe neonatal pneumonia admitted in our hospital from January 2014 to January 2015 were randomly divided into observation group and control group according to the random number table method. Group, 45 cases in each group. Both groups were given comprehensive treatment, including anti-infection, etc. In addition, the control group was given nasal oxygen catheter or oxygen mask, the observation group was treated with nasal continuous positive airway pressure treatment, the two groups before and after treatment compared the clinical manifestations Blood gas analysis and complications. Results Compared with the control group, the scores of respiration, heart rate and critically ill patients in the observation group improved more significantly after 24 hours of treatment (P <0.05), and the indexes of blood gas analysis improved more significantly than those in the control group after 24 hours (P <0.05) Dyspnea relief time, heart rate returned to normal time, pulmonary rales disappeared significantly shorter than the control group (P <0.05). Conclusion Nasal continuous positive airway pressure in the treatment of severe neonatal pneumonia has a good clinical efficacy, simple, economical and practical, shorten the course of the disease, it is worth promoting the clinical application.