山莨菪碱、多巴胺防治早产儿拔管困难

目的 观察山茛菪碱、多巴胺防治早产儿拔管困难的疗效。方法 选择32例需机械通气的早产儿分为两组，撤机后应用山茛菪碱、多巴胺辅助治疗（治疗组）及常规治疗组（对照组）进行研究比较。结果 治疗组有效率为83．3％，避免重插管，不良反应少；对照组有效率为55％。结论 山茛菪碱、多巴胺对防治早产儿拔管困难有一定疗效，尤其对于胎龄少，体重低的早产儿应用后，减少了重插管的可能，且不良反应少。

Anisodamine and dopamine on preventing and curing the difficulty in decannulation of premature infants

Objective To observe the cura ti ve effect of anisodamine and dopamine on preventing and curing the difficulty in decannulation of premature infants.Methods 32 cases of prematu re infants who needed mechanical ventilation were divided into two groups:the fi rst group is treatment group of using anisodamine and dopamine as accessory trea tment after mechanical ventilation,the second group is control group of routine treatment.Results The effective rate of treatment group and con trol group was 83.3% and 55%,but the treatment group refrained them from intubat ion again,and also had fewer adverse reactions.Conclusion It ha s good curative effect of anisodamine and dopamine on preventing and curing the difficulty in decannulation of premature infants,especially for small gestationa l age and light weight.Because it refrains them from intubation again,and also h as fewer adverse reaction.