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影响新生儿鼻塞持续气道正压通气压力不稳定因素分析
引用本文:尹同进,吉海燕,尹萍,雍其军,刘婷.影响新生儿鼻塞持续气道正压通气压力不稳定因素分析[J].临床儿科杂志,2011,29(9).
作者姓名:尹同进  吉海燕  尹萍  雍其军  刘婷
作者单位:东南大学医学院附属盐城医院儿科,江苏盐城,224001
基金项目:盐城市科技局卫生局科技发展计划基金资助项目
摘    要:目的 观察影响新生儿鼻塞持续气道正压通气(n-CPAP)过程中导致压力不稳定的因素.方法 对2006年10月 - 2009年8月新生儿科148例使用n-CPAP辅助呼吸的新生儿,记录导致n-CPAP压力不稳定的因素,包括鼻塞滑脱、鼻塞堵塞、管路冷凝水过多、患儿躁动不安、固定不妥、鼻塞过小、管路漏气等,并进行Logistics回归分析.结果 鼻塞滑脱、鼻塞堵塞、管路冷凝水过多、患儿躁动不安、固定不妥与n-CPAP压力异常显著相关.结论 鼻塞脱落、鼻塞堵塞、管路冷凝水过多、患儿躁动不安、固定不妥为引起压力异常的主要因素,应予以及时、及早排除.

关 键 词:持续呼吸道正压  影响因素  新生儿

Factors associated with pressure instability of nasal CPAP received by neonates
YIN Tong-jin,JI Hai-yan,YIN Ping,YONG Qi-jun,LIU Ting.Factors associated with pressure instability of nasal CPAP received by neonates[J].The Journal of Clinical Pediatrics,2011,29(9).
Authors:YIN Tong-jin  JI Hai-yan  YIN Ping  YONG Qi-jun  LIU Ting
Institution:YIN Tong-jin,JI Hai-yan,YIN Ping,YONG Qi-jun,LIU Ting(Department of Pediatrics,Yancheng Hospital Affiliated to Southeast University School of Medicine,Yancheng 224001,Jiangsu,China)
Abstract:Objective To observe the factors associated with pressure instability of nasal continuous positive airway pressure(CPAP)received by neonates.Methods From Oct.2006 to Aug.2009,148 neonates receiving nasal CPAP were observed.The factors possibly associated with pressure instability of nasal CPAP were collected,including prong displacement,prong obstruction,water condensation inside CPAP hose,restlessness,unfitted headgear,improper prong size and excessive leakage.The Logistic regression analysis on the factor...
Keywords:continuous positive airway pressure  influential factor  neonates  
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