持续呼吸道正压通气治疗新生儿呼吸衰竭的临床疗效观察

Clinical effect observation of continuous positive airway pressure in treatment of respiratory failure in newborn

目的观察采用持续呼吸道正压通气(CPAP)治疗新生儿呼吸衰竭的临床疗效。方法将本院2009年10月～2011年10月收治的84例患有呼吸衰竭的新生儿随机分为两组,治疗组和对照组均为42例,治疗组采用持续呼吸道正压通气治疗,对照组则采用头罩吸氧及药物治疗,对两组结果进行比较。结果治疗组和对照组的总有效率分别为88.1%和59.5%,两组差异有统计学意义(P<0.05);治疗组的气管插管率及并发症发生率均低于对照组,两组差异有统计学意义(P<0.05)。结论 CPAP是治疗新生儿呼吸衰竭安全、有效的方法,较传统治疗具有明显的优势,值得推广。

Objective To observe the clinical effect of CPAP in treatment of respiratory failure in newborn. Methods All 84 cases of newborns with respiratory failure in our pediatric wards from October 2009 to October 2011 were randomly divided into treatment group and control group, with 42 cases in each group. The treatment group was given the therapy of CPAP, and the control group were given therapy of facemask oxygen inhalation and medicine. Results The total effective rates of treatment group and control group were respectively 88.1% and 59.5%, the difference between the two groups has statistical significance. Conclusion CPAP is a safe and effective method to treat respiratory failure of newborn compared with conventional method and it is worthy of promotion.