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肺表面活性物质联合机械通气治疗新生儿呼吸窘迫综合征
引用本文:张佩华,滕懿群,陈俊国,朱雯. 肺表面活性物质联合机械通气治疗新生儿呼吸窘迫综合征[J]. 浙江中西医结合杂志, 2010, 20(5): 267-269
作者姓名:张佩华  滕懿群  陈俊国  朱雯
作者单位:浙江省嘉兴学院附属第二医院儿科,嘉兴,314000
摘    要:目的:观察生物制剂肺表面活性物质(PS)治疗新生儿呼吸窘迫综合征(NRDS)的疗效。方法:NRDS患儿56例分为两组,治疗组35例,应用curosurf(商品名:固尔苏)进行治疗,观察治疗前后患儿血气、肺氧合指标和呼吸机参数的变化,对照组21例未用curosurf。比较两组呼吸机使用时间、用氧时间及总平均住院时间。结果:治疗组用药后6、24小时氧合及肺功能指标较用药前明显改善(P0.01),呼吸机参数明显下降(P0.01);用药后24小时X线胸片积分明显改善。治疗组呼吸机使用时间、用氧时间、平均住院时间均较对照组短(P0.05或P0.01)。结论:curosurf能快速、安全、有效地改善严重NRDS患儿肺功能,降低呼吸机参数。

关 键 词:肺表面活性物质  呼吸窘迫综合征  新生儿

Effect of the Surfactant Replacement Therapy with Mechanical Ventilation on Neonatal Respiratory Distress Syndrome
ZHANG Peihua,TENG Yiqun,CHEN Junguo,et al.. Effect of the Surfactant Replacement Therapy with Mechanical Ventilation on Neonatal Respiratory Distress Syndrome[J]. Zhejiang Journal of Integrated Traditional Chinese and Western Medicine, 2010, 20(5): 267-269
Authors:ZHANG Peihua  TENG Yiqun  CHEN Junguo  et al.
Affiliation:ZHANG Peihua,TENG Yiqun,CHEN Junguo,et al.the Second Affiliated Hospital,College of Medicine,Jiaxing University,Jiaxing(314000),China
Abstract:Objective:To investigate the clinical efficacy of pulmonary surfactant(PS)in the replacement therapy for neonatal respiratory distress syndrome(NRDS).Methods:Fifty-six NRDS infants were randomized into curosurf group(35 cases)and non-curosurf group(21 cases).Changes of blood gas analysis and oxygenization and ventilator parameters before and after the treatment were analyzed.The duration of mechanical ventilation,days of oxygen requirement,and hospitalized period were compared between the 2 groups.Results:T...
Keywords:pulmonary surfactant respiratory distress syndrome infants/newborns efficacy  
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