有创-无创机械通气序贯治疗小儿呼吸衰竭56例分析

Analysis of invasive-noninvasive sequential mechanical ventilation in the treatment of 56 children with respiratory failure

目的评价有创-无创机械通气序贯治疗小儿呼吸衰竭的疗效。方法选取我院收治的小儿呼吸衰竭患者56例,将其随机分为观察组和对照组,每组各28例。观察组采用有创-无创机械通气序贯治疗,对照组采用常规有创通气方法。结果观察组总机械通气时间、住院时间、ICU时间少于对照组,差异有高度统计学意义(P<0.01)。观察组病死率(7.14%)与对照组(14.29%)比较,差异无统计学意义(P>0.05)。结论有创-无创序贯机械通气的方法在抢救小儿呼吸衰竭时有很好的临床实用价值,建议基层医院推广。

Objective To evaluate the curative effects of invasive-noninvasive sequential mechanical ventilation in the treatment of children with respiratory failure. Methods 56 children with respiratory failure treated in our hospital were ran- domly divided into observation group and control group. The observation group received invasive-noninvasive sequential mechanical ventilation treatment. The control group received conventional invasive ventilation. Results The observation group was smaller than the control group in the total duration of mechanical ventilation, length of hospital stay and ICU time, there were significant differences between the two groups （P 〈 0.01）. The fatality rate was 7.14% in the observation group and 14.29% in the control group, there was no statistical difference （P 〉 0.05）. Conclusion The invasive-noninvasive sequential mechanical ventilation has good clinical value in the rescue of children with respiratory failure, thereby, it is worthy of promotion in primary hospitals.