小儿CPAP呼吸机配合药物治疗新生儿呼吸窘迫综合征60例临床观察及护理

Children with CPAP Ventilator with Drugs in Treatment of Neonatal Respiratory Clinical Observation and Nursing of 60 Cases of Distress Syndrome

60例新生儿呼吸窘迫综合征患者均先用CPAP治疗,1h症状无改善或病情加重者10例,改用常频呼吸机(CMV)治疗,列为CMV组;其余50例继续使用N-CPAP模式治疗,列为CPAP组。结果 CMV组治愈7例,死亡3例。与CPAP组相比,CMV治疗并发症明显增多。CPAP呼吸机治疗的总成功率达为83%。小儿CPAP呼吸机在新生儿呼吸窘迫综合征抢救治疗中具有重要的价值。

60 patients diagnosed as the neonatal respiratory distress syndrome were first treated with CPAP.10 cases were found to be no improvement in symptoms or even exacerbations after 1 hour.Then,the patients were switched to normal frequency ventilation(CMV) treatment,namely CMV group while the remaining 50 cases continued to use N-CPAP treatment,considered as CPAP group.Results: In group CMV,7 cases were cured and 3 cases died.Compared with CPAP treatment,complications increased significantly in CMV treatment group,and the total success rate of CPAP ventilator treatment reached 83%.Therefore,Children with CPAP ventilator revealed important value in the treatment of neonatal respiratory distress syndrome.