无创呼吸机治疗新生儿肺炎的临床分析

Clinical Analysis of Nneonatal Pneumonia Treated with Non-invasive Ventilator

目的对比两种治疗方法,传统常规治疗与无创呼吸机新辅助治疗即持续气道正压通气(Continuous Positive Airway Pressure,CPAP)在治疗新生儿肺炎方面的效果。方法搜集我院新生儿病房2017年11月至2018年2月收治的20例肺炎小婴儿,随机分为对照组和观察组,治疗方法:两组患儿均给予常规治疗,对照组增加鼻导管吸氧或面罩吸氧,实验组增加CPAP。将20例患儿通过统计软件分析并且比较两组动脉血氧分压恢复时间,呼吸频率恢复,喘憋缓解、啰音消失时间、胸片恢复时间的差别。若P<0.05,则差别有统计学意义。结果实验组患儿除胸片吸收时间的P>0.05外,其他四项数据实验组均小于对照组,P<0.05。结论使用CPAP可缩短血氧分压恢复时间,啰音消失、呼吸频率恢复,喘憋缓解减轻时间,在症状与体征的减轻和缓解方面有积极作用。但对胸片吸收速度并没有大的效果,对总的疗程影响不明显。

Objective In order to understand the important role of Continuous Positive Airway Pressure（CPAP） in the treatment of newborn pneumonia,the routine treatment and non invasive ventilator assisted treatment of pneumonia in newborns were compared.Methods 20 neonates admitted from November 2017 to February 2018 in our neonatal ward were grouped and random Ly divided into two groups.Both groups of children were given conventional treatment.In the control group,nasal canal oxygen or face mask oxygen was absorbed.The experimental group was given CPAP.Monitor changes in oxygen partial pressure,respiration,heart rate,wheezing,and chest radiographs in all children.Statistical analysis was performed to compare the differences in the the data above.The data was statistical significance if P0.05.Results The mean normalization data in the experimental group were almost smaller than those in the control group,P0.05,but there was no difference in chest absorptive time.Conclusion CPAP can significantly ease the clinical symptoms of children with pneumonia,and has a significant effect in shortening the course of treatment.