持续正压通气治疗危重型手足口病疗效观察

Curative effect observation of continuous positive airway pressure treatment for severe type of hand, foot and mouth disease

目的探讨持续正压通气在危重型手足口病早期应用的治疗效果。方法回顾分析54例危重型手足口病患儿的临床资料。患儿均有嗜睡、易惊、心率、呼吸增快、血压升高等临床表现，其中27例（对照组）给予双鼻导管吸氧及常规治疗，另27例（治疗组）在常规治疗的同时给予持续正压通气治疗。结果治疗组危重型手足口病患儿经CPAP治疗后，呼吸、心率、收缩压、体温较对照组有明显改善，住院时间，嗜睡、易惊的持续时间较对照组均明显缩短。结论通过持续正压通气治疗危重型手足口病能有效阻止病情进一步恶化，值得推广。

Objective To investigate the therapeutic effect of the early continuous positive airway pressure treatment for severe type of hand, foot and mouth disease. Methods retrospective 54 cases of severe type of hand, foot and mouth disease,namely, which have sleepiness, panic, fast heart rate, breathing, high blood pressure and other clinical manifestations, including 27 cases in the control group given Double oxygen nasal catheter and conventional treatment, the other 27 cases in treatment group given the conventional treatment while given NCPAP therapy. Results through treatment, the breathing, heart rate, systolic blood pressure, body temperature of the treatment group have better improved than the control group; The duration time of the lethargy, Panic and the length of hospital stay in the control group were significantly shortened. Conclusion continuous positive airway pressure （CPAP） treatment can effectively to prevent further deterioration of the hand, foot and mouth disease.This treatment is worthy of clinical promotion..