论文部分内容阅读
目的回顾性分析机械排痰配合新型经鼻持续气道正压通气(NCPAP)治疗婴幼儿重症肺炎所致轻中型呼吸衰竭的疗效。方法选择深圳市龙岗区妇幼保健院诊断为婴幼儿重症肺炎所致轻中型呼吸衰竭患儿50例,其中,2011年1月至2012年5月的25例患儿作为对照组,2012年6月至2013年7月的25例患儿作为治疗组。两组患儿都采取综合治疗措施,两组患儿都早期给予NCPAP加强呼吸支持,治疗组患儿同时给予机械排痰,对两组的治疗效果进行比较分析。结果治疗组患儿治疗12 h后呼吸频率及Pa CO2明显降低,Pa O2明显升高,平均机械通气时间及平均住院时间均缩短,排痰量增加,与对照组患儿相比,差异均有统计学意义(P<0.05)。结论早期应用机械排痰配合新型NCPAP治疗婴幼儿重症肺炎所致轻中型呼吸衰竭,可以快速改善氧合水平,缩短机械通气的使用时间,减少住院时间,降低住院费用。
Objective To retrospectively analyze the curative effect of mechanical drainage and nasal continuous positive airway pressure (NCPAP) in the treatment of mild to moderate respiratory failure caused by severe pneumonia in infants and children. Methods 50 cases of mild to moderate respiratory failure caused by severe pneumonia in infants and young children were diagnosed in Longgang District Maternal and Child Health Hospital of Shenzhen. Among them, 25 cases from January 2011 to May 2012 were served as control group. In June 2012 To July 2013 in 25 cases of children as a treatment group. Both groups of children took comprehensive treatment. Both groups were given NCPAP early to enhance respiratory support. Children in treatment group were also given mechanical sputum aspiration. The therapeutic effects of the two groups were compared and analyzed. Results After treatment for 12 hours, the respiratory rate and the PaCO 2 in the treatment group were significantly decreased, Pa O 2 was significantly increased, mean mechanical ventilation time and average length of hospital stay were shortened, sputum output was increased, compared with the control group Statistical significance (P <0.05). Conclusion Early mechanical exhaust sputum with the new NCPAP treatment of severe pneumonia in infants and young children due to mild to moderate respiratory failure can quickly improve the oxygenation level, shorten the use of mechanical ventilation, reduce hospital stay and reduce hospitalization costs.