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《双水平正压通气治疗极低出生体重早产儿呼吸窘迫综合征应用价值.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中华临床医师杂志f电子版12014年6月第8卷第l2期ChiIlJClinieiansfElectronicEdit{on).1une15.2014.v0l_8.No.12·87·●临床论著双水平正压通气治疗极低出生体重早产儿呼吸窘迫综合征应用价值吴杰斌周彬蒋红侠刘娅金宝张艳艳翟敬芳【摘要】目的探讨鼻塞式双水平正压通气(DuoPAP)在治疗极低出生体重早产儿呼吸窘迫综合征(NIs)临床应用效果。方法2013年1月至2014年2月徐州市中心医院新生儿重症监护病房(NICU)收治85例极低出生体重NRDS患儿,随机将患儿分为nDuoPAP组45例,鼻塞式持
2、续气道正压通气(nCPAP)组40例,主要观察两组使用无创呼吸支持后1h、12h、24h的pH值、二氧化碳分压(PaCO2)、血氧分压(PaO2)、氧合指数(OI=PaO2/FiO2)、失败例数等。结果nDuoPAP组无创辅助通气1h、12h、24h评估PaCO2、PaO2、OI与nCPAP组比较有明显改善,差异均有统计学意义(P3、。97)d.(3.44±1.18)d],发生气漏综合征、支气管肺发育不良(BPD)、早产儿视网膜病(ROP)、脑室内出血(IVH)及脑室周围白质软化(PVL)例数,差异均无统计学意义(尸>O.05)。结论nDuoPAP治疗NRDS,与nCn相比更能改善氧合,减少CO2潴留,减少有创机械通气比例及并发症。.【关键词】连续气道正压通气;呼吸窘迫综合征,新生JL;婴儿,极低出生体重;婴儿,早产;双水平正压通气ApplicationvalueofDuopositivepressureventilationinthetreatmentofverylowbirth4、weightpreterminfantswithrespiratorydistresssyndromeWuJiebin,ZhouBin,JiangHongxia,LiuYa,JinBao,ZhangYanyan,ZhaiJingfang.DepartmentofPediatrics,XuzhouCentralHospitalofJiangsuProvince,Xuzhou22loo9.ChinaCorrespondingauthor:ZhouBin,Email:zekzj@163.com[Abstract]ObjectiveToinvestigatet5、heclinicalapplicationeffectofnasaiDuopositiveairwaypressure(DuoPAP)inthetreatmentofverylowbirthweightpreterminfantswithrespiratorydistresssyndrome(NRDS).Methods85casesofverylowbirthweightpreterminfants、ⅣimNRDSfromXuzhoucentralhospitalneonatalintensivecareunit0~Ict0from2013Januar6、yto2014Februarywererandomlydividedintotwogroup,nDuoPAPgroup45cases,nasalcontinuouspositiveairwaypressure(nCPAP)group40cases,themainobservationwasthecomparisonofpHvalue,partialpressureofcarbondioxide(PaCO2),partialpressureofoxygen(PaO9,oxygenationindex(01=PaO2/FiO2),failurecasesi7、ntwogroupafterlh,12h,24h.ResultsPaCO2,PaO2,OI(PaO2/FiO2),thenumberoffailurecasesandtheincidenceofapneaat1h,12h,24hduringusingDuoPAP,DuoPAPwereimprovedsignificantlyinnDuoPAPgroupcomparedthnCPAPgroup(P<0.05).Therewasnostatisticalsignificancebetweenbothgroupsinthenoninvasiveventila8、tiontime,(3.61~0.97)d.(3.44~1.18)dandgasleaksyn
3、。97)d.(3.44±1.18)d],发生气漏综合征、支气管肺发育不良(BPD)、早产儿视网膜病(ROP)、脑室内出血(IVH)及脑室周围白质软化(PVL)例数,差异均无统计学意义(尸>O.05)。结论nDuoPAP治疗NRDS,与nCn相比更能改善氧合,减少CO2潴留,减少有创机械通气比例及并发症。.【关键词】连续气道正压通气;呼吸窘迫综合征,新生JL;婴儿,极低出生体重;婴儿,早产;双水平正压通气ApplicationvalueofDuopositivepressureventilationinthetreatmentofverylowbirth
4、weightpreterminfantswithrespiratorydistresssyndromeWuJiebin,ZhouBin,JiangHongxia,LiuYa,JinBao,ZhangYanyan,ZhaiJingfang.DepartmentofPediatrics,XuzhouCentralHospitalofJiangsuProvince,Xuzhou22loo9.ChinaCorrespondingauthor:ZhouBin,Email:zekzj@163.com[Abstract]ObjectiveToinvestigatet
5、heclinicalapplicationeffectofnasaiDuopositiveairwaypressure(DuoPAP)inthetreatmentofverylowbirthweightpreterminfantswithrespiratorydistresssyndrome(NRDS).Methods85casesofverylowbirthweightpreterminfants、ⅣimNRDSfromXuzhoucentralhospitalneonatalintensivecareunit0~Ict0from2013Januar
6、yto2014Februarywererandomlydividedintotwogroup,nDuoPAPgroup45cases,nasalcontinuouspositiveairwaypressure(nCPAP)group40cases,themainobservationwasthecomparisonofpHvalue,partialpressureofcarbondioxide(PaCO2),partialpressureofoxygen(PaO9,oxygenationindex(01=PaO2/FiO2),failurecasesi
7、ntwogroupafterlh,12h,24h.ResultsPaCO2,PaO2,OI(PaO2/FiO2),thenumberoffailurecasesandtheincidenceofapneaat1h,12h,24hduringusingDuoPAP,DuoPAPwereimprovedsignificantlyinnDuoPAPgroupcomparedthnCPAPgroup(P<0.05).Therewasnostatisticalsignificancebetweenbothgroupsinthenoninvasiveventila
8、tiontime,(3.61~0.97)d.(3.44~1.18)dandgasleaksyn
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