早期、间歇CPAP治疗小儿重症肺炎的临床研究

《早期、间歇CPAP治疗小儿重症肺炎的临床研究》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、早期、间歇CPAP治疗小儿重症肺炎的临床研究【摘要】目的：探究早期、间歇持续气道正压通气(CPAP)治疗小儿重症肺炎的临床效果。方法：选取2015年8月-2016年8月在本院进行治疗的重症肺炎患儿120例，按随机数字表法分为两组，每组各60例。两组均进行抗感染、吸痰等常规治疗，对照组实施鼻塞式CPAP治疗，观察组采用鼻塞式CPAP和鼻导管给氧交替使用。对两组临床指标、血气指标、疗效及预后情况进行比较。结果：观察组住院时间、临床症状消失时间(呼吸困难、发纟tt、肺部?？音)及心率恢复正常时?g较对照组明显减少，比较差异均有统计学意义(IK0.05)。治疗后24h,观察组蛍

2、离子浓度指数(pH)、血氧饱和度(SaO2).动脉血二氧化碳分压(PaC02)>动脉血氧分压(Pa02)指标较对照组明显改善，比较差异均有统计学意义(P〈0.05)。观察组不良反应发生率与对照组比较，差异无统计学意义(P>0・05)。观察组病死率明显低于对照组，治疗效果明显升髙，比较差异有统计学意义(P〈0.05)。结论：给予重症肺炎患儿早期、间歇CPAP治疗可改善患儿血气指标，缩短临床症状改善时间，提高治疗效果，促进患儿康复。本文采集自网络，本站发布的论文均是优质论文，版权和著作权归原作者所有。【关键词】早期；间歇CPAP；鼻导管；小儿重症肺炎【Abstract]Ob

3、jective：Toinvestigatetheclinicaleffectofearlyintermittentcontinuouspositiveairwaypressure(CPAP)forthetreatmentofchildrenwithseverepneumonia.Method：120childrcnwithseverepneumoniawhohadreceivedtreatmentinourhospitalfromAugust2015toAugust2016wereselectedandrandomlydividedintotwogroups,60cas

4、esineachgroup.Theywereal1giventheanti-infectionandsputumsuctioningconventionaltreatment.ThecontrolgroupwasgivennasalobstructionCPAP,whiletheobservationgroupweregivennasalcatheteroxygeninhalationandnasalobstructionCPAP.Theclinicalindicators,b1oodgasindicators,efficacyandprognosisoftwogrou

5、pswerecompared.Result：Thelengthofhospitalstay,timeforthedisappearingofclinicalsymptoms(dyspnea,cyanosis,pulmonaryrales)andtimefortherecoveryofheartrateinobservationgroupweresignificantlyreducedcomparedwiththecontrolgroup,thedifferenceswerestatisticallysignificant(P〈0・05).Aftertreatment24

6、h,concentrationofhydrogenionindex(pH),oxygcnsaturation(Sa02),arterialpartialpressureofcarbondioxide(PaC02),andarterialpartialpressureofoxygen(Pa02)intheobservationgroupweresignificantlyimprovedcomparedwiththecontrolgroup,thedifferenceswerestatisticallysignificant(P<0.05).Therewasnostatis

7、ticallysignificantdifferenceintheincideneeofadversereactionsoftwogroups(P>0.05)・Themortalityintheobservationgroupwassignificantlylowerthanthatcontrolgroup,andthetreatmenteffectwassignificantlyincreased,thedifferenceswerestatisticallysignificant(P<0.05)•Conclusion：Forchild