摘要
目的:分析早期持续气道正压通气(CPAP)在重症肺炎并发呼吸衰竭患儿预后转归中的应用效果。方法:选取2020年1月至2022年3月莆田市第一医院收治的80例重症肺炎并发呼吸衰竭患儿,通过随机数字表法进行分组,每组40例。对照组患儿采用常规治疗方法(经鼻导管吸氧法),观察组患儿采用早期CPAP疗法,比较两组患儿临床疗效。结果:观察组患儿肺部啰音、发绀、呼吸困难、心率恢复正常、住院时间均短于对照组,差异具有统计学意义(P<0.05);观察组患儿治疗后动脉血氧分压(PaO_(2))、氢离子浓度指数(pH)均高于对照组,动脉血二氧化碳分压(PaCO_(2))低于对照组,差异具有统计学意义(P<0.05);两组患儿并发症发生率比较,差异无统计学意义(P>0.05);观察组患儿病死率低于对照组,差异具有统计学意义(P<0.05)。结论:对重症肺炎合并呼吸衰竭患儿在早期阶段采用CPAP治疗,有效改善患儿血气相关指标及预后,减少病死风险。
Objective To analyze the application effect of early continuous positive airway pressure(CPAP)in the prognosis of children with severe pneumonia complicated with respiratory failure.Methods A total of 80 children with severe pneumonia complicated with respiratory failure admitted to Putian First Hospital from January 2020 to June 2022 were selected and divided into groups by random number table method,with 40 cases in each group.The control group was treated with conventional treatment(nasal catheter oxygen inhalation),while the observation group was treated with early continuous positive airway pressure(CPAP).The clinical efficacy of the two groups was compared.Results Lung rale,cyanosis,dyspnea,heart rate recovery to normal and hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the arterial partial pressure of oxygen(PaO_(2))and pondus hydrogenii(pH)in the observation group were higher than those in the control group,and the arterial partial pressure of carbon dioxide(PaCO_(2))was lower than that in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).The mortality of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Continuous positive airway pressure(CPAP)in the early stage of severe pneumonia complicated with respiratory failure can effectively improve the blood gas related indicators and prognosis of children and reduce the risk of death.
作者
陈强
胡向荣
CHEN Qiang;HU Xiang-rong(Putian First Hospital,Fujian Putian 351100)
出处
《深圳中西医结合杂志》
2022年第15期112-114,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
重症肺炎
呼吸衰竭
早期持续气道正压通气
儿童
Severe pneumonia
Respiratory failure
Early continuous positive airway pressure ventilation
Children
