无创呼吸机在新生儿呼吸衰竭中的应用观察

Observation of non-invasive ventilation in neonatal respiratory failure

目的探讨无创呼吸机治疗新生儿呼吸衰竭的临床效果。方法选取2011年10月—2013年10月收治的100例呼吸衰竭新生儿为研究对象,按照治疗方法的不同,分为对照组与观察组各50例,对照组在常规治疗的基础上给予头罩吸氧治疗,观察组在对照组基础上给予无创通气治疗,比较两组患儿症状改善情况。结果两组患儿经治疗后的呼吸频率(R)、心率(HR)、动脉血氧分压(Pa O2)、二氧化碳分压(Pa CO2)、p H值、并发症发生情况、病死率、住院时间及气血改善所用时间比较差异有统计学意义(P<0.05)。结论采用无创呼吸机治疗新生儿呼吸衰竭效果确切,可迅速改善患儿的临床症状,且安全、简便,具有较高的临床推广价值。

Objective To investigate the clinical results of non - invasive treatment of neonatal respiratory failure ventilator. Methods October 2011 October 2013 in our hospital 100 cases of neonatal respiratory failure as the research object, according to different treatment methods, each divided into 50 cases in the control group received conventional treatment group and study group give oxygen hood treatment, observation group received non - invasive ventilation therapy in the control group, based on the comparison of the two groups of children with improvement of symptoms. Results After treatment, the results of the two groups of children with respiratory rate （ R）, heart rate （ HR）, arterial oxygen tension （ PaO2 ）, carbon dioxide partial pressure （ PaCO2 ）, pH value, the case of complications, mortality, length of stay and improve blood used time difference had statistically significant （ P 〈 0. 05 ）. Conclusion Noninvasive ventilain treatment of neonatal respiratory failure has the exact effect, can rapidly improve the clinical symptoms in children, and safe, simple, with a high clinical value.