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目的观察机械通气对手足口病重症患儿的临床疗效。方法对2015年10-12月于医院就诊的76例手足口病重症患儿,给予气管插管机械通气治疗,观察患儿在治疗前、通气24h、撤掉机械后3个时间点患儿的收缩压、心率变化情况,并分析机械通气时间、治疗效果、不良反应情况。结果经过24h治疗后,患者的收缩压、心率较治疗前下降明显,差异有统计学意义(P<0.05)。患儿脱机后,收缩压、心率较治疗前明显改善,差异有统计学意义(P<0.05)。结论手足口病重症患儿可以采用机械通气治疗,疗效显著,值得临床推广。
Objective To observe the clinical effect of mechanical ventilation on HFMD in children. Methods A total of 76 HFMD children admitted to the hospital from October to December in 2015 were given mechanical ventilation for tracheal intubation. Before treatment, the patients were ventilated for 24 hours, and at 3 time points after mechanical removal Systolic blood pressure, heart rate changes, and analysis of mechanical ventilation time, treatment, adverse reactions. Results After 24h treatment, systolic blood pressure and heart rate of patients decreased significantly compared with those before treatment (P <0.05). Children with off-line, systolic blood pressure, heart rate was significantly improved compared with before treatment, the difference was statistically significant (P <0.05). Conclusion Severe hand, foot and mouth disease in children with mechanical ventilation can be treated with significant efficacy, worthy of clinical promotion.