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目的探讨应用高频呼吸机治疗新生儿肺透明膜病的临床效果,分析影响其治疗效果以及预后情况的因素。方法对2014年4月至2015年5月阳春市妇幼保健院新生儿科收治的应用高频呼吸机进行治疗的56例新生儿肺透明膜病患儿的临床资料进行回顾性分析,将治愈的患儿和病死的患儿分成治愈组和病死组,对两组患者的治疗过程及临床效果效果进行归纳和总结,同时对影响其治疗效果和预后的各种因素进行分析。结果治愈40例,病死16例,治愈率为71.43%,病死率为28.57%。记录分析结果:治愈组胎龄、出生体质量以及上机时患儿日龄均明显高于病死组,血气分析结果变化程度明显小于病死组。结论对于早产儿医护人员要做好预防工作,针对新生儿肺透明膜病在应用高频呼吸机进行治疗时,尽量排除各种高危因素的影响,降低该病的发生率和病死率,提高临床治疗效果。
Objective To investigate the clinical effect of high-frequency ventilator on neonatal hyaline membrane disease and to analyze the factors influencing its therapeutic effect and prognosis. Methods The clinical data of 56 neonates with hyaline membrane disease treated with high-frequency ventilator from April 2014 to May 2015 in Yangchun Maternal and Child Health Hospital were analyzed retrospectively. The patients who were cured The children and the dead children were divided into the cure group and the dead group. The treatment process and the clinical effect of the two groups were summarized and summarized, and the factors influencing the treatment effect and prognosis were analyzed. Results 40 cases were cured, 16 cases died, the cure rate was 71.43% and the case fatality rate was 28.57%. Record analysis results: The cure group gestational age, birth weight and the age of children on the machine were significantly higher than the dead group, blood gas analysis results were significantly less than the dead group. Conclusion For the prevention and treatment of premature infants, the prevention and treatment work should be done to eliminate the influence of various risk factors, reduce the incidence and mortality of neonatal hyaline membrane disease when using high-frequency ventilator, and improve the clinical treatment effect.