早产儿呼吸窘迫综合征采用双水平气道正压通气和持续气道正压通气治疗的对比

Comparison of Positive Airway Pressure Ventilation and Continuous Positive Airway Pressure Ventilation in Preterm Infants With Respiratory Distress Syndrome

目的 分析研究早产儿呼吸窘迫综合征通过双水平气道正压通气以及持续气道正压通气治疗的方法以及治疗效果,为临床提供有力的依据。方法 将我院2014年6月-2016年6月所收治的早产儿呼吸窘迫综合征患者46例的临床资料进行回顾性分析。结果 研究组和对照组患者接受无创通气治疗后2 h、24 h,两组患者pH值以及PaCO2与0 h对比,差异具有统计学意义（P〈0.05）。通气后2 h,研究组pH值以及PaCO2改善程度高于对照组（P〈0.05）。结论 对于早产儿呼吸窘迫综合征,采取双水平气道正压通气治疗效果优于持续气道正压通气治疗,能够有效降低氧暴露时间,减少患者住院时间。

Objective To analyze and study the method of positive airway pressure ventilation and continuous positive airway pressure ventilation in preterm infants with respiratory distress syndrome, and to provide a strong basis for clinical treatment.Methods In our hospital from June 2014 to June 2016, 46 cases of premature infants with respiratory distress syndrome were retrospectively analyzed.Results The study group and the control group, after 2 hours of noninvasive ventilation in the treatment group received 24 hours and 0 hours compared to pH value and PaCO2 can obviously improve ventilation （P〈0.05）. After 2 hours, the study group of patients with pHand PaCO2 improvement was significantly higher than the control group （P〈0.05）.Conclusion Premature infants with respiratory distress syndrome by BiPAP ventilation is better than continuous positive airway pressure therapy.