呼气末二氧化碳检测在重症肺炎患儿机械通气中的应用价值以及睡眠影响

The Application Value of End Expiratory Carbon Dioxide Detection in Mechanical Ventilation of Children with Severe Pneumonia and the Effect of Sleep

目的:探析对接受机械通气治疗的重症肺炎患儿进行呼气末二氧化碳检测的临床价值及对睡眠质量影响作用。方法:选取2017—2019年间谷城县人民医院新生儿科收治的确诊为重症肺炎新生儿120例作为研究对象,所有患儿均接受持续性呼气末二氧化碳监测,通过对患儿相关临床数据分析以归纳呼气末二氧化碳监测对于机械通气治疗的重症肺炎患儿病情评估价值。结果:呼气末二氧化碳指标与动脉二氧化碳分压指标间呈现正相关联系,随着OI指标的提升两者的关联性会逐渐下降,一旦OI在25以上则两者关联性断开;随着重症肺炎患儿机械通气治疗时间的延长以及病情控制效果,呼气末二氧化碳指标与动脉二氧化碳分压之间相关性系数对应升高。结论:对重症肺炎新生患儿应用机械通气治疗时采取呼气末二氧化碳监测能够及时掌握患儿的病情状态,方便及时调整治疗方案,保障患儿的睡眠质量以及治疗效果,值得临床推广。

Objective:To explore the clinical value of end-expiratory carbon dioxide detection and its effect on sleep quality in children with severe pneumonia treated with mechanical ventilation.Methods:Analysis objects from our college freshman pediatric diagnosis of severe pneumonia in 2017—2019 years the newborn group related data,a total of 120 cases of children,all children accept persistent exhale carbon dioxide at the end of the monitoring,through relevant clinical data analysis for neonates with inductive exhale carbon dioxide at the end of the monitoring of mechanical ventilation in the treatment of children with severe pneumonia of the assessed value of the disease.Results:There was a positive correlation between end-expiratory carbon dioxide index and arterial pco2 index.With the increase of OI index,the correlation between them gradually decreased.Once OI was above 25,the correlation between them was broken.The correlation coefficient between end-expiratory carbon dioxide index and arterial partial carbon dioxide pressure increased with the prolonged treatment time of mechanical ventilation and the control effect of the disease.Conclusion:The monitoring of end-expiratory carbon dioxide during the treatment of severe pneumonia in newborn infants with mechanical ventilation can timely master the condition of the infants,facilitate the timely adjustment of treatment plan,and ensure the sleep quality and treatment effect of the infants,which is worthy of clinical promotion.