鼻塞法持续呼吸道正压通气防治新生儿肺透明膜病的监护

目的:探讨鼻塞法持续呼吸道正压通气(NCPAP)在防治新生儿肺透明膜病的应用及护理。方法:60例胎龄29～35周的早产儿随机分为两组,观察组(30例)生后即给以NCPAP,对照组(30例)生后即给以鼻导管前庭吸氧,观察生命体征、血气指标变化。结果:观察组的各项指标比较稳定优于对照组,差异有显著性(P<0.05)。观察组总有效率93.33%,对照组总有效率66.67%,差异有高度显著性(P<0.01)。结论:NCPAP防治新生儿肺透明膜病效果显著且安全。

Application and nursing of nasal-obstruction continuous positive airway pressure (NCPAP) in the prevention and treatment of hyaline membrane disease of newborns

Objective: To explore the application and nursing of nasal-obstruction continuous positive airway pressure (NCPAP) in the prevention and treatment of hyaline membrane disease of newborns. Methods: 60 premature with fetal age between 29-35 weeks were divided into observation group (30cases) and control group (30cases). NCPAP were immediately given after delivery in the observation group, while the other 30 newborns were given oxygen vestibularly with nasal catheters in the control group. The vital signs and blood gases were observed at different time. Results: The indexes of the newborn were more stable and significant better in the observation group than that in the control group (P<0.05) and the difference was of significance between the two groups (P<0.01). The total effective rate was respectively 93.33% and 66.67% in the observation group and the control group. Conclusion: NCPAP is effective and safe in the prevention and treatment of hyaline membrane disease of newborns.