经鼻持续气道正压通气治疗新生儿肺炎的临床效果

Clinical Effect of Nasal Continuous Positive Airway Pressure Therapy on Neonatal Pneumonia

目的:观察新生儿肺炎采取经鼻持续气道正压通气治疗的效果。方法:选取笔者所在医院2017年1月-2018年10月接诊并治疗的108例患儿为研究对象,根据所接受的治疗方案分为观察组56例与对照组52例,两组新生儿在接诊后均及时进行常规抢救治疗,对照组新生儿在此基础上进行头罩与鼻导管吸氧,观察组采取经鼻持续气道正压通气的方式治疗,观察两组疗效及各项临床症状改善情况。结果:治疗前两组PaO2、PaCO2指标比较差异无统计学意义(P>0.05),治疗后两组PaO2、PaCO2指标均优于治疗前,且观察组优于对照组,差异均有统计学意义(P<0.05);观察组临床症状消失时间早于对照组,住院治疗时间短于对照组,差异均有统计学意义(P<0.05);观察组治疗总有效率(98.21%)高于对照组(76.92%),差异有统计学意义(P<0.05)。结论:新生儿肺炎的治疗中,采取经鼻持续气道正压通气治疗,疗效更加显著,各项临床症状的改善速度更快,住院治疗时间也更短,值得临床应用和推广。

Objective:To observe the effect of nasal continuous positive airway pressure therapy on neonatal pneumonia.Method:A total of 108 children treated in my hospital from January 2017 to October 2018 were selected as the subjects of the study,and were divided into observation group(56 cases)and control group(52 cases)according to the treatment plan.On this basis,the neonates in the control group were treated with hood and nasal catheterization,and the observation group was treated with nasal continuous positive airway pressure ventilation.The curative effect and the improvement of clinical symptoms in the two groups were observed.Result:There were no significant difference in PaO2,PaCO2 between the two groups before treatment(P>0.05).After treatment,the PaO2,PaCO2 index of the two groups were better than that before treatment,and the observation group were superior to the control group,the differences were statistically significant(P<0.05).The disappearance time of clinical symptoms and hospitalization time in the observation group were better than those in the control group,and the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group(98.21%)was higher than that in the control group(76.92%),the difference was statistically significant(P<0.05).Conclusion:In the treatment of neonatal pneumonia,nasal continuous positive airway pressure therapy is adopted,the curative effect is more remarkable,the improvement of various clinical symptoms is faster,and the hospitalization time is shorter,which is worthy of clinical application and promotion.