经鼻持续气道正压通气在重型新生儿肺炎治疗中的效果分析

目的 分析经鼻持续气道正压通气在重型新生儿肺炎治疗中的效果。方法 收集我院2014年1月~2015年1月收住的重型新生儿肺炎患者90例,按随机数字表法分为观察组和对照组,对应数字为偶数者为观察组,奇数者为对照组,每组45例。两组患者均给予包括抗感染等在内的综合治疗,此外对照组给予鼻导管吸氧或头罩吸氧,观察组应用经鼻持续气道正压通气治疗,比较两组治疗前后的临床表现、血气分析及并发症。结果 观察组经气道正压通气治疗24 h后呼吸、心率、危重症评分较对照组改善更明显(P < 0.05),血气分析指标24h后亦较对照组改善更明显(P< 0.05),呼吸困难缓解时间、心率恢复正常时间、肺部啰音消失时间明显短于对照组(P < 0.05)。结论 经鼻持续气道正压通气在治疗重型新生儿肺炎具有较好的临床疗效,操作简单、经济实用、缩短病程,值得临床推广应用。

Effect Analysis of Nasal Continuous Positive Airway Pressure in Treating Severe Neonatal Pneumonia

Objective To analyze the curative effects of nasal continuous positive airway pressure in treating severe neonatal pneumonia.Methods Selected 90 cases of patients with severe neonatal pneumonia who were treated in in our hospital from January 2014 to January 2015. According to the random number table method, they were randomly divided into the observation group and the control group, and the corresponding numbers were even as the observation group, odd numbers as the control group, 45 cases in each group. Two groups of patients were all given comprehensive treatment including antiinfection. Additionally, the control group was given nasal catheter oxygen inhalation or oxygen hood. While the observation group used nasal continuous positive airway pressure to treat. The clinical manifestations before and after treatment, two groups blood gas analysis and complications of two groups were compared.Results After the observation group was treated by positive airway pressure for 24 hours, the breathing, heart rate and critical score improved more significantly than those of the control group (P < 0.05). Besides, blood gas analysis index of the observation group after 24 hours was more significantly improved than that of the control group (P < 0.05) and the relieving time of dyspnea, heart rate back to normal, and the time of the disapearing of rales of lungs significantly shorter than those of the control group (P < 0.05).Conclusion It has distinct clinical effect to apply nasal continuous positive airway pressure in the treatment of severe neonatal pneumonia. The operation is simple to handle, economical and practical, and shorten the course of the disease. Therefore it is worth popularizing in clinic.