CAJ | 학술논문

目的探讨极低出生体重儿呼吸暂停持续气道正压通气联合药物雾化的效果.方法将56例同期入院的极低出生体重儿伴发呼吸暂停随机分为两组,观察组28例,施行持续气道正压通气时及2 h后,给予药物雾化;对照组28例,按常规持续气道正压通气.结果观察组鼻咽部干燥症状、管道堵塞发生数、痰液黏稠度显著低于对照组(P值均<0.01),观察组持续气道正压通气时间与对照组相比明显缩短,呼吸暂停发生数、并发症发生率观察组少于对照组(P值均<0.01).结论极低出生体重儿持续气道正压通气联合药物雾化,有效减少呼吸暂停的发生次数,减低并发症发生率,提高存活质量.
목적 탐토겁저출생체중인호흡잠정지속기도정압통기연합약물무화적효과.방법 장56례동기입원적겁저출생체중인반발호흡잠정수궤분위량조,관찰조28례,시행지속기도정압통기시급2 h후,급여약물무화;대조조28례,안상규지속기도정압통기.결과 관찰조비인부간조증상、관도도새발생수、담액점주도현저저우대조조(P치균<0.01),관찰조지속기도정압통기시간여대조조상비명현축단,호흡잠정발생수、병발증발생솔관찰조소우대조조(P치균<0.01).결론 겁저출생체중인지속기도정압통기연합약물무화,유효감소호흡잠정적발생차수,감저병발증발생솔,제고존활질량.
Objective To investigate the effect of continuous positive airway pressure combined with atomizing inhalation on very low birth weight infants who were apnea.Methods A total of 56 infant patients with apnea were involved in this study and divided into two groups.Observation group consist of 28 cases and were treated with continuous positive airway pressure and atomizing inhalation 2 hours later;Control group consist of 28 cases and were treated with continuous positive airway pressure.Results The symptoms of nasopharyngeal dry, the number of pipe blocking and the sputum viscosity was significantly in observation group lower than that in control group (P all<0.01), the time of observation group's continuous positive airway pressure ventilation was significantly shorter than that of control group;Observation group had lower incidence of apnea and complications than control group. (P all<0.01).Conclusions The method of continuous positive airway pressure combined with atomizing inhalation may effectively reduce incidence of apnea and complications and improve the life quality.