带针胸管胸腔闭式引流术联合HFOV在新生儿气胸患儿中的临床疗效及安全性分析

Analysis on the clinical efficacy and safety of thoracic closed drainage with needle tube combined with high frequency oscillation ventilation in the treatment id neonatal pneumothorax

目的探析带针胸管胸腔闭式引流术联合高频机械通气(HFOV)在新生儿气胸中的临床疗效及安全性。方法选取2013年1月—2018年12月在本院接受诊断治疗的60例新生儿气胸患儿作为研究对象,随机分为实验组(带针胸管胸腔闭式引流术+HFOV)和对照组(传统胸腔闭式引流术+CMV)两组,每组各30例。比较两组患儿的一般资料、治疗结果、临床疗效及安全性。结果两组患儿的一般资料无明显统计学差异(P>0.05)。实验组患儿的起效时间、操作时间、呼吸机使用时间等各项指标水平均明显低于对照组(P<0.01)。实验组患儿的临床总有效率(93.33%)明显高于对照组(73.33%),并发症发生率(6.67%)明显低于对照组(30.00%)(P<0.05)。结论带针胸管胸腔闭式引流术联合HFOV在新生儿气胸患儿中的具有突出的临床疗效及可靠的安全性,值得推广。

Objective To analyze the clinical efficacy and safety of needle tube thoracic closed drainage combined with high frequency oscillation ventilation(HFOV)in the treatment of neonatal pneumothorax.Methods 60 cases of patients with neonatal pneumothorax those who received treatment in our hospital during January,2013 and December,2018 were chosen as the study objects.Children included were divided into experimental group(thoracic closed drainage with needle tube combined with HFOV)and control group(traditional closed thoracic drainage combined with conventional mechanical ventilation),30 cases in each group.The general information,the therapeutic outcomes,the clinical efficacy and the safety of two groups were compared.Results There was no statistical difference in general information between the two groups(P>0.05).The onset time,operation time,ventilator use time and the other indexes in experimental group were obviously lower than those in control group(P<0.05).The clinical total efficacy rate in experimental group(93.33%)was obviously higher than that in control group(73.33%),and the complication rate in experimental group(6.67%)was obviously lower than that in control group(30.00%),P<0.05.Conclusions The application of thoracic closed drainage with needle tube combined with HFOV in the treatment neonatal pneumothorax has obvious clinical efficacy and reliable safety,which is worth promoting.