CAJ | 학술논문

目的探讨无创正压通气辅助治疗重症手足口病的疗效.方法我院2009年4月至2010年8月收治的86例重症手足口病患儿按入院时间分为两组,A组(2009年4月至7月)常规综合治疗38例,B组(2010年4月至8月)常规综合治疗结合经鼻持续气道正压通气辅助治疗48例,比较两组总有效率.结果 A组38例,治愈25例,有效6例,无效7例,治愈率65.8％,总有效率81.5％.B组48例,治愈40例,有效7例,无效1例,治愈率83.3％,总有效率97.9％.B组治疗效果显著优于A组,差异有统计学意义(x2 =6.71,P＜0.05).结论重症手足口病及早使用经鼻持续气道正压通气辅助治疗,对阻止重症病例向危重症发展有重要作用.
목적 탐토무창정압통기보조치료중증수족구병적료효.방법 아원2009년4월지2010년8월수치적86례중증수족구병환인안입원시간분위량조,A조(2009년4월지7월)상규종합치료38례,B조(2010년4월지8월)상규종합치료결합경비지속기도정압통기보조치료48례,비교량조총유효솔.결과 A조38례,치유25례,유효6례,무효7례,치유솔65.8％,총유효솔81.5％.B조48례,치유40례,유효7례,무효1례,치유솔83.3％,총유효솔97.9％.B조치료효과현저우우A조,차이유통계학의의(x2 =6.71,P＜0.05).결론 중증수족구병급조사용경비지속기도정압통기보조치료,대조지중증병례향위중증발전유중요작용.
Objective To evaluate the effects of noninvasive positive pressure ventilation on the severe cases of hand foot and mouth disease (HFMD).Methods Eighty-six cases of severe HFMD admitted to our hospital between Apr 2009 and Aug 2010 were divided into two groups based on the time when admitted to our hospital.Thirty-eight cases (group A,Apr to Jul,2009) received routine treatment and 48 cases (group B,Apr to Aug,2010) were ventilated with nasal continuous positive airway pressure based on routine treatment.The difference of the total efficiency was compared between two groups.Results Twenty-five out of 38 patients were cured,six showed improved signs,and seven showed no improvement in group A,of which the total efficiency was 81.5％.Forty out of 48 patients were cured,seven showed improved signs,and one showed no improvement in group B,of which the total efficiency was 97.9％.The clinical effect of group B was much better than group A and the difference was statistically significant ( x2 =6.71,P ＜0.05).Conclusion Early nasal continuous positive airway pressure has most valuable effect on HFMD and is helpful in preventing -HFMD from getting worse.