常频呼吸机治疗新生儿重症呼吸衰竭的效果评价

Evaluation of the Effect of Normal-frequency Ventilator in the Treatment of Neonatal Critical Respiratory Failure

目的 探讨采用常频呼吸机治疗新生儿重症呼吸衰竭患儿的效果。方法 随机选取成武县人民医院于2022年5月—2023年10月期间收治的90例新生儿重症呼吸衰竭患儿作为研究对象,以随机数表法分为对照组及观察组,各45例。对照组采用常规治疗,观察组采用常频呼吸机治疗,将两组疗效进行对比分析。结果 观察组动脉血氧分压、氧指数测定结果高于对照组,动脉血二氧化碳分压、呼吸频率、心率均低于对照组,差异有统计学意义(P均<0.05);观察组住院时间及各种症状改善时间均短于对照组,差异有统计学意义(P均<0.05);观察组总有效率(95.56%)高于对照组(80.00%),差异有统计学意义(χ^(2)=5.074,P<0.05);观察组并发症发生率更低,差异有统计学意义(P<0.05)。结论 应用常频呼吸机对新生儿重症呼吸衰竭患儿实施治疗,可以显著改善患儿血气指标,缩短住院及症状改善时间,该方法疗效突出,有助于降低其并发症。

Objective To explore the effect of the use of a normal-frequency ventilator in the treatment of neonatal children with critical respiratory failure.Methods A total of 90 cases of neonatal severe respiratory failure admitted to Chengwu County People's Hospital from May 2022 to October 2023 were randomly selected as study objects and di-vided into the control group and the observation group by the random number table method,each with 45 cases.The control group was treated with conventional therapy,and the observation group was treated with a constant-frequency ventilator,and the efficacy of the two groups was analysed against each other.Results The results of arterial blood oxy-gen partial pressure and oxygen index of the observation group were higher than those of the control group,and arterial blood carbon dioxide partial pressure,respiratory rate and heart rate were lower than those of the control group,and the differences were statistically significant(all P<0.05);the length of hospitalisation and the time for the improvement of all kinds of symptoms of the observation group were shorter than those of the control group,and the differences were statistically significant(all P<0.05).The total effective rate of the observation group(95.56%)was higher than that of the control group(80.00%),and the difference was statistically significant(χ^(2)=5.074,P<0.05);the complication rate of the observation group was lower,and the difference was statistically significant(P<0.05).Conclusion The application of normal-frequency ventilator for the treatment of neonates with severe respiratory failure can significantly improve the children's blood gas indexes,shorten the hospitalization and symptomatic improvement time,the efficacy of this method is outstanding,and help to reduce the complications.