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| 无创高频振荡通气在足月儿轻度急性呼吸窘迫综合征救治过程中的应用价值 | |
| 引用本文： | 颜陶,杨敏霞,陶志允,廖沛娜,严美洁. 无创高频振荡通气在足月儿轻度急性呼吸窘迫综合征救治过程中的应用价值[J]. 国际医药卫生导报, 2022, 28(10): 1381-1384. DOI: 10.3760/cma.j.issn.1007-1245.2022.10.012 |
| 作者姓名： | 颜陶 杨敏霞 陶志允 廖沛娜 严美洁 |
| 作者单位： | 1佛山市高明区人民医院新生儿科，佛山 528500；2佛山市高明区人民医院儿科，佛山 528500 |
| 基金项目： | 佛山市自筹经费类科技计划项目（医学类科技攻关项目）（2020001004651） |
| 摘 要： | 目的:研究对足月儿轻度急性呼吸窘迫综合征（acute respiratory distress syndrome，ARDS）应用无创高频振荡通气治疗的价值。方法:选取佛山市高明区人民医院2021年2月至12月收治的60例轻度ARDS足月儿，通过随机数字表法分组，分成双水平组、高频组各30例。双水平组男∶女为18∶12，... |
| 关 键 词： | 无创高频振荡通气 足月儿 轻度急性呼吸窘迫综合征 应用价值 |
| 收稿时间： | 2022-01-28 |
Value of noninvasive high frequency oscillatory ventilation in the treatment of term infants with mild acute respiratory distress syndrome |
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| Yan Tao,Yang Minxia,Tao Zhiyun,Liao Peina,Yan Meijie. Value of noninvasive high frequency oscillatory ventilation in the treatment of term infants with mild acute respiratory distress syndrome[J]. International Medicine & Health Guidance News, 2022, 28(10): 1381-1384. DOI: 10.3760/cma.j.issn.1007-1245.2022.10.012 | |
| Authors: | Yan Tao Yang Minxia Tao Zhiyun Liao Peina Yan Meijie |
| Affiliation: | 1 Department of Neonatology, Gaoming District People's Hospital ofFoshan, Foshan 528500, China; 2 Department of Pediatrics, GaomingDistrict People's Hospital of Foshan, Foshan 528500, China |
| Abstract: | Objective To study the value of noninvasive high frequency oscillatory ventilationin the treatment of term infants with mild acute respiratory distress syndrome(ARDS). Methods A total of 60 terminfants with mild ARDS treated in Gaoming District People's Hospital of Foshanfrom February to December 2021 were divided into a double level group and ahigh frequency group by the random number table, with 30 cases in each group.In the double level group, the ratio of male to female was 18:12, and the gestationalage was (36.41±2.94) weeks; in the high frequency group, the ratio of male tofemale was 19:11, and the gestational age was (36.58±3.05) weeks. The infantsin the double level group were treated with noninvasive double level positivepressure ventilation and the infants in the high frequency group were treatedwith noninvasive high frequency oscillatory ventilation. The blood gas analysisindexes, oxygenation indexes at different time points, clinical indexes,complications, and clinical treatment effects of the two groups were compared.The measurement data were tested by independent sample t test, and the count data were tested by χ2 test. Results In terms of blood gasanalysis indexes, the arterial carbon dioxide partial pressure (PaCO2)in the high-frequency group was lower than that in the double-level group, witha statistically significant difference between the two groups (P<0.05). After 24 h and 48 h, theoxygenation indexes of the two groups continued to decrease, and theoxygenation index in the high frequency group was significantly lower than thatin the double level group (all P<0.05),with better oxygenation improvement. There were no statistically significantdifferences in the total oxygen inhalation time, total noninvasive respiratorysupport time, and total hospital stay between the two groups (all P>0.05). The rate of endotrachealintubation in the high frequency group [6.67% (2/30)] was lower than that inthe double level group [26.67% (8/30)], with a statistically significantdifference (P<0.05). The incidenceof complications was 3.33% (1/30) in the high frequency group and 13.33% (4/30)in the double level group, without statistically significant difference betweenthe two groups (P>0.05). Theeffective rate of the high frequency group [93.33% (28/30)] was higher thanthat of the double level group [73.33% (22/30)], with a statisticallysignificant difference between the two groups (P<0.05). Conclusion The effect ofnoninvasive high-frequency oscillatory ventilation in the treatment of terminfants with mild ARDS is ideal, and it can improve their oxygenation and bloodgas indexes, with high safety and high feasibility. |
| Keywords: | Noninvasive high frequency oscillatory ventilation Term infants Mild acute respiratory distress syndrome Application value |
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