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经鼻间歇正压通气用于拔管后呼吸支持的临床研究 被引量：4

Nasal intermittent positive pressure ventilation versus after extubation:a retrospective analysis
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摘要 目的比较经鼻间歇正压通气(nIPPV)与经鼻持续气道正压通气(nCPAP)在拔管后呼吸支持中的疗效。方法于2011年1月至2012年12月,采用回顾性研究的方法,将196例拔管患儿按照呼吸支持模式分为分为nIPPV组(102例)与nCPAP组(94例),比较nIPPV或nCPAP呼吸支持治疗后需再次行气管插管机械通气的比例。结果 nIPPV组拔管成功率为88.2%(90/102),使用nIPPV时间(6.3±2.8)d,nCPAP组拔管成功率为75.5%(71/94),使用nCPAP时间(7.1±2.4)d;nIPPV组拔管后需要呼吸支持时间短,拔管成功率高(P<0.05)。结论与nCPAP比较,nIPPV治疗可显著提高拔管成功率。 Objective To compare the curative effect of nasal intermittent positive pressure ventilation （nIPPV ） and nasal con-tinuous positive airway pressure （nCPAP） method .Methods Retrospective study was took on 196 neonatal infants ,all cases were assigned into nIPPV group （n=102） and nCPAP group （n=94） according to mode of ventilation from January 2011 to December 2012 in a neonatal intensive care unit of this hospital .The ratio of requirement for endotracheal ventilation and the outcome were in-vestigated .Results Infants treated initially with nIPPV need less endotracheal ventilation and ventilation time than those treated with nCPAP （11 .8% vs .24 .5% ,P〈0 .05） .Conclusion Compared with nCPAP ,nIPPV decreased the requirement for endotrache-al ventilation in neonatal infants after extubation .
作者 王灿 陈龙 汪丽 王楠 吴婷婷 史源
机构地区 第三军医大学大坪医院野战外科研究所儿科
出处 《重庆医学》 CAS CSCD 北大核心 2013年第36期4408-4409,4411,共3页 Chongqing medicine
关键词 婴儿 新生 间歇正压通气 连续气道正压通气 infant, newborn intermittent positive pressure ventilation continuous positive airway pressure
分类号 R722.1 [医药卫生—儿科]
  • 相关文献

参考文献12

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二级参考文献39

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共引文献41

同被引文献42

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引证文献4

二级引证文献33

重庆医学
2013年 第36期

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