双水平无创正压通气在新生儿呼吸衰竭的应用

doi:10.3877/cma.j.issn.1673-5250.2013.02.028

中华妇幼临床医学杂志(电子版) ›› 2013, Vol. 09 ›› Issue (02) : 232 -234. doi: 10.3877/cma.j.issn.1673-5250.2013.02.028

所属专题：文献；

短篇论著

双水平无创正压通气在新生儿呼吸衰竭的应用

周广玲¹, 高翔羽¹, 严艺¹^,^*(

)

^1. 221009　江苏徐州，江苏省徐州市中心医院儿科

收稿日期:2013-01-22 修回日期:2013-03-04 出版日期:2013-04-01
通信作者: 严艺

Received:2013-01-22 Revised:2013-03-04 Published:2013-04-01

全文 ( ) 下载PDF ( ) 导出引用

表1 两组患儿辅助通气时间和机械通气率发生率比较(h，±s)

Table 1 Comparison of duration of assisted ventilation and incidence of mechanical ventilation between two groups(h，±s)

组别	n	辅助通气时间	机械通气率[n (%)]
DuoPAP组	26	54.0±15.8	3(11.5)
NCPAP组	26	67.0±17.3	10(38.5)
t/χ²		2.829	5.023
P		<0.01	<0.05

表1 两组患儿辅助通气时间和机械通气率发生率比较(h，±s)

Table 1 Comparison of duration of assisted ventilation and incidence of mechanical ventilation between two groups(h，±s)

组别	n	辅助通气时间	机械通气率[n (%)]
DuoPAP组	26	54.0±15.8	3(11.5)
NCPAP组	26	67.0±17.3	10(38.5)
t/χ²		2.829	5.023
P		<0.01	<0.05

表2 两组患儿3个观察时间点动脉血气分析指标比较(±s)

Table 2 Comparison of the indicators of the arterial blood-gas analysis at 3 different observed time points between two groups(±s)

组别	n	pH值			PaO₂ (mm Hg)			PaCO₂ (mm Hg)
组别	n	治疗前	治疗后4 h	治疗后24 h	治疗前	治疗后4 h	治疗后24 h	治疗前	治疗后4 h	治疗后24 h
DuoPAP组	26	7.13±0.06	7.27±0.11	7.33±0.07	51.2±10.3	71.3±13.6	80.5±11.2	51.8±8.7	53.2±8.5	54.2±9.3
NCPAP组	26	7.11±0.08	7.33±0.09	7.41±0.13	50.9±11.6	80.7±15.5	91.6±13.8	50.3±9.5	43.7±9.7	39.5±12.3
t		0.357	2.222	2.759	0.097	2.324	2.256	0.285	3.756	4.861
P		>0.05	<0.05	<0.05	>0.05	<0.05	<0.05	>0.05	<0.01	<0.01

表2 两组患儿3个观察时间点动脉血气分析指标比较(±s)

Table 2 Comparison of the indicators of the arterial blood-gas analysis at 3 different observed time points between two groups(±s)

组别	n	pH值			PaO₂ (mm Hg)			PaCO₂ (mm Hg)
组别	n	治疗前	治疗后4 h	治疗后24 h	治疗前	治疗后4 h	治疗后24 h	治疗前	治疗后4 h	治疗后24 h
DuoPAP组	26	7.13±0.06	7.27±0.11	7.33±0.07	51.2±10.3	71.3±13.6	80.5±11.2	51.8±8.7	53.2±8.5	54.2±9.3
NCPAP组	26	7.11±0.08	7.33±0.09	7.41±0.13	50.9±11.6	80.7±15.5	91.6±13.8	50.3±9.5	43.7±9.7	39.5±12.3
t		0.357	2.222	2.759	0.097	2.324	2.256	0.285	3.756	4.861
P		>0.05	<0.05	<0.05	>0.05	<0.05	<0.05	>0.05	<0.01	<0.01

[1]	Shao XM, Ye HM, Qiu XS, ed.Practice of neonatology.4th ed[M].Beijing:People's Medical Publishing House, 2011, 433-434.
[2]	Sweet DG, Carnielli V, Greisen G, et al. European consensus guidelines on the management of neonatal respiratory distress syndrome in preterm infants-2010 update[J].Chin J Pediatr, 2011, 49(1):27-33.
[3]	Shi Y, Tang SF, Zhao J, et al. Efficiency of nasal intermittent positive pressure ventilation vs nasal continuous positive airway pressure on neonatal respiratory distress syndrome: A prospective, randomized, controlled study[J].Acta Acad Med Mil Univ, 2010, 32(18):1991-1994.
[4]	Zhai M, Li XL, Zhang W, et al. The effect of nasal continuous positive pressure therapy on acute neonatal respiratory failure[J]. J Clin Pediatr, 2010, 28(3):239-240.
[5]	Chen HY, Chen LP, Jin XD.Clinical application of noninvasive bilevel positive air pressure ventilation in patients with chronic obstructive pulmonary disease complicated with severe respiratory failure[J].J Clin Pulm Med, 2007, 12(4):379-380.
[6]	Li JD, Liu XL. Observing and nursing care of noninvasive bilevel positive air pressure ventilation in respiratory failure patients with invasive mechanical ventilation[J].J Nurs Training, 2011, 26(16):1469-1471.
[7]	Mai LM. Clinical nursing care of noninvasive bilevel positive air pressure ventilation in patients with respiratory failure[J].Chin Gen Nurs, 2011, 9(5):1357-1358.
[8]	Qiao YX, Han LP, Guo XX, et al. Nasal intermittent positive pressure ventilation in preterm infants with respiratory distress syndrome[J]. J Appl Clin Pediatr, 2012, 27(2):119-121.
[9]	Yang J, Zhou T, Sha N, et al.Clinical research of nasal bi-level positive airway pressure on premature infants with respiratory distress syndrome[J].J Jiangsu Univ:Med Ed, 2012, 22(1):80-82.

No related articles found!

阅读次数

全文

摘要

选择文件类型/文献管理软件名称

选择包含的内容

模态框（Modal）标题

选择文件类型/文献管理软件名称

选择包含的内容