小儿重症肺炎合并呼吸衰竭经鼻持续气道正压通气治疗的预后观察

Observed on prognosis of treatment with nasal continuous positive airway pressure in children with severe pneumonia combine respiratory failure

目的探讨小儿重症肺炎合并呼吸衰竭经鼻持续气道正压通气治疗效果。方法选取2014年6月~2016年9月我院收治的52例重症肺炎合并呼吸衰竭患儿作为研究对象,按随机数字表法分为观察组和对照组,每组26例。观察组患儿的治疗方案为经鼻持续气道正压通气治疗,对照组患儿的治疗方案为鼻导管吸氧治疗,观察两组患儿的临床治疗效果及并发症发生情况。结果观察组的治疗总有效率为92.31%,明显高于对照组的65.38%,两组比较差异有统计学意义(P<0.05);观察组的并发症发生率为3.85%,明显低于对照组的26.92%,两组比较差异有统计学意义(P<0.05)。结论经鼻持续气道正压通气治疗小儿重症肺炎合并呼吸衰竭的效果理想,对降低患儿并发症,改善预后具有积极意义。

Objective To discuss the effect of children with severe pneumonia combination of respiratory failure after treatment of nasal continuous positive airway pressure （CPAP）.Methods Selection the 52 cases of children with severe pneumonia with respiratory failure as the research object from June 2014 to September 2014 in our hospital,according to random number table method was divided into observation group and control group,26 cases in each group.Observation group was treated by nasal continuous positive airway pressure （CPAP） and control group by nasal oxygen therapy.Observe the clinical therapeutic effect and complications of two groups.Results Total effective rate in treatment of observation group was 92.31%,significantly higher than the 65.38% in the control group.Compare the difference of two groups was statistically significant （P〈0.05）;the incidence of complications in the observation group was 3.85%,obviously lower than the 26.92% in control group （P〈0.05）.Conclusion CPAP treat to the children with severe pneumonia combination of respiratory failure,the effect is good,and have the positive significance to lower the complication,improve the prognosis.