摘要
目的探讨小儿重症肺炎合并呼吸衰竭的急诊急救措施及效果。方法方便选取2013年1月—2018年1月该院收治的60例小儿重症肺炎合并呼吸衰竭患儿进行前瞻性对照研究,按照入院时间分为对照组(常规急诊急救措施)与研究组(常规急诊急救基础上加用早期持续气道正压通气)。对比两组救治效果。结果研究组呼吸困难消失时间、肺啰音消失时间、心率恢复正常时间分别为(25.32±3.06)、(4.52±0.85)、(30.05±2.84)h,均短于对照组的(37.96±3.51)、(7.05±0.86)、(44.87±5.26)h,差异有统计学意义(t=14.868、11.460、13.579,P=0.000、0.000、0.000);研究组、对照组病死率分别为6.67%、13.33%,结果差异无统计学意义(χ~2=0.19,P=0.667);研究组、对照组并发症发生率分别为10.00%、33.33%,差异有统计学意义(χ~2=4.81,P=0.028)。结论小儿重症肺炎合并呼吸衰竭急诊急救中实施持续气道正压通气的效果更为理想。
Objective To investigate the emergency first-aid measures and effects of severe pneumonia with respiratory failure in children.Methods A prospective controlled study of 60 children with severe pneumonia and respiratory failure treated in the hospital from January 2013 to January 2018 was performed.The patients were convenient divided into a control group(conventional emergency first-aid measures)and a study group(conventional emergency department)according to the time of admission.On the basis of first aid,add early positive continuous positive airway pressure.Compare the two groups'treatment effects.Results The time of disappearance of dyspnea,the time of disappearance of pulmonary rales and the normal time of recovery of heart rate in study group were(25.32±3.06),(4.52±0.85),(30.05±2.84)h,which were shorter than those in control group(37.96±3.51),(7.05±0.86),(44.87±5.26)h,the difference was statistically significant(t=14.868,11.460,13.579,P=0.000,0.000,0.000);the mortality rates in study group and control group were 6.67%,13.33%,the results were not statistically significant(χ^2=0.19,P=0.667);the incidence of complications in the study group and control group were 10.00%,33.33%,respectively,the difference was statistically significant(χ^2=4.81,P=0.028).Conclusion Continuous positive airway pressure ventilation is more effective in the emergency emergency treatment of severe pneumonia with respiratory failure.
作者
张薛
ZHANG Xue(Department of Pediatrics,Hutubi County People's Hospital,Changji,Xinjiang,831200 China)
出处
《中外医疗》
2018年第23期38-40,共3页
China & Foreign Medical Treatment
关键词
小儿
重症肺炎
呼吸衰竭
急诊急救
Pediatrics
Severe pneumonia
Respiratory failure
Emergency treatment
