新生儿无创呼吸机防治新生儿呼吸窘迫综合征的效果

Effect of Neonatal Non-invasive Ventilator on Prevention and Treatment of Neonatal Respiratory Distress Syndrome

目的探讨无创呼吸机治疗新生儿呼吸窘迫综合征的效果。方法选取2016年5月~2019年5月我院新生儿科收治的60例呼吸窘迫综合征新生儿作为研究对象,按照随机数字表法分为对照组和观察组,每组30例。对照组实施机械通气治疗,观察组实施无创呼吸机治疗,比较两组动脉血气指标(pH、PaO2、PaCO2)及并发症发生率。结果观察组pH,PaO2和PaCO2低于对照组[(7.06±0.31)vs(8.14±0.65)]、[(75.63±5.84)mmHg vs(86.12±6.31)mmHg]、[(30.58±3.95)mmHg vs(42.52±5.14)mmHg],差异有统计学意义(P<0.05)。观察组并发症发生率为3.33%,低于对照组的23.33%,差异有统计学意义(P<0.05)。结论实施无创呼吸机治疗新生儿呼吸窘迫综合征,可改善患儿动脉血气指标,降低并发症发生率。

Objective To explore the effect of noninvasive ventilator in the treatment of neonatal respiratory distress syndrome.Methods 60 newborns with respiratory distress syndrome admitted to our hospital from May 2016 to May 2019 were enrolled in the study.According to the random number table method,they were divided into control group and observation group,30 cases in each group.The control group was treated with mechanical ventilation,and the observation group was treated with non-invasive ventilator.The arterial blood gas indexes(pH,PaO2,PaCO2)and the incidence of complications were compared.Results In the observation group,the pH,PaO2 and PaCO2 were lower than the control group[(7.06±0.31)vs(8.14±0.65)],[(75.63±5.84)mmHg vs(86.12±6.31)mmHg],[(30.58±3.95)mmHg vs(42.52±5.14)mmHg],the difference was statistically significant(P<0.05).The complication rate of the observation group was 3.33%,which was lower than that of the control group 23.33%,the difference was statistically significant(P<0.05).Conclusion The implementation of non-invasive ventilator for neonatal respiratory distress syndrome can improve the arterial blood gas index of children and reduce the incidence of complications.