呼吸机辅助通气治疗小儿急性肺损伤的疗效观察

Clinical observation of ventilator in the treatment of children with acute lung injury

目的探讨小儿呼吸机辅助通气治疗小儿急性肺损伤（ALI）的临床效果。方法选取本院呼吸内科2011年1月～2012年12月收治的小儿ALI患儿64例，随机分为对照组和观察组。对照组采用常规治疗措施，观察组在对照组的基础上给予小儿呼吸机辅助通气，比较两组的临床效果。结果观察组血气指标的改善情况更为显著，两组间比较差异有统计学意义（P〈0．05）。观察组痊愈11例，总有效率为87．5％；对照组痊愈5例，总有效率为59.4％，差异有统计学意义（P〈0．05）。结论呼吸机辅助通气治疗小儿ALI可改善患儿的呼吸频率、氧合指数等，具有很好的临床疗效。

Objective To discuss the clinical effects of mechanical ventilation in the treatment of children with acute lung injury （ALI）. Methods 64 cases of children with ALI in department of Pediatrics of our hospital from January 2011 to December 2012 were selected and randomly divided into control group and observation group.The control group was given conventional treatment measures,and the observation group was added mechanical ventilation on the basis of control group.The clinical effects of these two groups were compared. Results The blood gas index improvement of ob- servation group was more significant than that of the control group,with significant differences （P〈0.05）.In the observa- tion group,11 cases were cured,with the total effecttive rate of 87.5%,and in the control group,5 cases were cured,with the total effective rate of 59.4%,with statistical differences （P〈0.05）. Conclusion The ventilation in the treatment of children with ALI,can improve the respiratory frequency,oxygen index of patients,with good clinical effects.