早期应用持续气道正压通气治疗小儿重症肺炎并呼吸衰竭15例

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1、早期应用持续气道正压通气治疗小儿重症肺炎并呼吸衰竭15例湖南省怀化济民医院419300【摘要】目的探讨早期持续气道正压通气治疗在小儿呼吸衰竭治疗屮的应用效果。方法收集2014年3月至2015年3月我院收治的呼吸衰竭患儿30例，采用随机数字法分为两组，对照组(n=15)采用常规治疗和普通氧疗进行治疗，观察组(n=15)采用在对照组治疗的基础上采用早期持续气道正压通气进行治疗，比较两组患儿治疗前后的肺通气功能和治疗后并发症。结果治疗后观察组患儿PaCO2为36.24±6.58mmHg对照组为42.08±7.14mmHg,P<0.05；治疗后

2、观察组患儿FiO2为32.57±10.67%,对照组为40.59±10.48%,P<0.05；治疗后观察组患儿01为13.18±1.28,对照组为17.48±1.67,P<0.05；治疗后观察组患儿PaO2/PAO2为0.59±0.13,对照组为0.46±0.09,P<0.05;观察组患儿治疗后气胸、慢性肺部并发症的发生率明显低于对照组患儿，P<0.05；两组患儿颅内出血发生率无显著性差异，P>0.05。结论早期持续气道正压通气治疗可有效改善小儿呼吸衰竭的肺

3、部通气功能，对于降低治疗后气胸、慢性肺部疾病发生率具有积极作用，值得推广应用。【关键词】早期；持续气道正压通气；呼吸衰竭[Abstract】objectivetoexploretheearlycontinuouspositiveairwaypressure(cpap)therapyinthetreatmentofpediatricrespiratoryfailureapplicationeffect.MethodcollectedinMarch2014toMarch2015,ourhospitalof30casesofchildrenwithrespiratoryfai

4、lurecanbedividedintotwogroupsbyrandomnumbermethod，thecontrolgroup(n=15)usingconventionaltreatmentandnormaloxygentherapytreatment,observationgroup(n=15)usinginthecontrolgrouptherapyonthebasisofearlycontinuouspositiveairwaypressure(cpap)treatment,comparedtwogroupsbeforeandaftertreatmentinc

5、hildrenwithpulmonaryventilationfunctionandcomplicationsaftertreatment.ResultsobservationgroupaftertreatmentwithPaCO2was36.24+/-6.58mmHginthecontrolgroupwas42.08+/-7.14mmHg，P<0.05;ObservationgroupaftertreatmentwithFiO232.57plusorminus10.67%，controlgroupwas40.59+/-10.48%,P<0.05；Obser

6、vationgroupaftertreatmentinchildrenwithOlwas13.18+/-1.28，17.48+/-1.67，thecontrolgroup(P<0.05;ObservationgroupaftertreatmentwithPaO2/PaO2was0.59+/-0.13,0.46+/-0.09,thecontrolgroup(P<0.05；Observationgroupwiththeincidenceofpneumothorax，chronicpulmonarycomplicationsaftertreatmentsignif

7、icantlylowerthanthecontrolgroup,children(P<0.05；Twogroupsofchildrenwithintracranialhemorrhagewasnosignificantdifference,P>0.05).Conclusionearlycontinuouspositiveairwaypressure(cpap)treatmentcaneffectivelyimprovethepediatricrespiratoryfailurelungventilationfunction,t