摘要
目的探讨不同剂量肺表面活性物质(PS)治疗足月新生儿呼吸窘迫综合征(NRDS)的效果和护理方法。方法将我院于2003-02～2010-09间收治的足月NRDS患者20例,随机分为两组,A组10例,B组10例。A组采用100 mg/kg剂量的固尔苏(PS)补充治疗及相应的常规护理,B组采用50 mg/kg剂量的固尔苏补充治疗及系统护理干预措施。观察两组患儿症状缓解时间、机械通气时间、住院时间、并发症发生率以及PaO2、PaCO2的比较。结果 A组10例患儿均治愈,其中并发气胸4例,无并发肺出血;B组10例均治愈,无并发气胸及肺出血。B组住院时间和通气时间比A组少,患儿家属的满意度比A组高。结论 PS治疗足月NRDS疗效确切,使用50 mg/kg剂量的固尔苏补充治疗及系统护理干预措施的效果较100 mg/kg剂量的固尔苏补充治疗及相应的常规护理要好,安全性较高。
Objective To evaluate the efficacy of pulmonary surfacant in the treatment of acute respiratory distress syndrome in full term neonates.Methods From February to September 2010,20 full-term neonates with acute respiratory distress syndrome were randomly divided into two groups.In group A,100 mg / kg curosurf was used besides routine nursing.In group B,50 mg / kg curosurf was used.The relieve time,duration of mechanical ventilation,hospital day,complication and oxygen saturation were compared.Results The hospital day and duration of mechanical ventilation was shorter in Group B than that in group A.Conclusion 50 mg / kg dose curosurf is effective in the treatment of acute respiratory distress syndrome in full-term neonates.
出处
《黑龙江医学》
2013年第8期685-686,共2页
Heilongjiang Medical Journal
关键词
新生儿
肺表面活性物质
呼吸窘迫综合征
护理
Infant
Pulmonary surfacant
Acute respiratory distress syndrome
Nursing
