应用NCPAP治疗56例新生儿肺透明膜病及护理

目的 探讨鼻塞式持续气道正压通气(NCPAP)在新生儿肺透明膜病中的呼吸支持作用及其护理。方法 对56例应用NCPAP治疗的新生儿肺透明膜病的临床资料进行回顾性分析。结果 56例患儿中，NCPAP应用天数为3—10d，平均4．6d，应用NCPAP4h临床症状完全缓解23例(41．07％)，病情改善29例(51．79％)，总有效率达92．86％。4例患儿病情较重，于治疗6h后改为机械通气辅助呼吸。结论 运用NCPAP治疗新生儿肺透明膜病临床效果显著且安全。

Analysis the Effect of Breathing Support of NCPAP in Hyaline Membrane Disease of the Newborn(a Report of 56 Cases)

Objective To analyze the effect of breathing support of nasal continuous positive airway pressure(NCPAP)in hyaline membrane disease (HMD) of the newborn.Methods The clinical data of 56 cases(from 1995,7 to 2002,10) of hyaline membrane disease of the newborn who were treated by NCPAP is analyzed.Results The time of using NCPAP in 56 patients is from 3d to 10d(average,4 6d).After using NCPAP 4h,the results showed that the clinical symptoms disappeared 23 cases(41 07%),improved in 29 cases (51 79%),and the total rate of efficiency was 92 86%.But there are 4 cases who had no efficacy for their serious disease.Conclusion Using NCPAP is of efficacy and safety in hyaline membrane disease of the newborn.