CAJ | 학술논문

目的寻求小儿无创正压通气联合雾化更有效舒适的雾化方法.方法选择三种疾病患儿,于同种疾病患儿随机选取相同例数,对照组、观察组按二种雾化方法进行对比.对照组:按传统氧气驱动雾化方法.观察组:按改良氧气驱动雾化方法指安装好的雾化器(同传统方法),但氧表的湿化瓶内放已加温至45℃蒸溜水,喷嘴改直接接无创通气鼻塞喷雾.二组患儿均选择纽邦E360呼吸机辅助通气,喷雾时暂停正压通气,完成雾化再继续接无创正压通气,喷雾20分钟后观察患儿不良反应及排痰效果.结果两组患儿雾化吸入不良反应发生情况比较、雾化吸入排痰效果比较均有统计学意义(P＜0.01).结论观察组雾化吸入发生不良反应情况明显减少,雾化吸入后排痰效果好,有显著临床意义.
목적 심구소인무창정압통기연합무화경유효서괄적무화방법.방법 선택삼충질병환인,우동충질병환인수궤선취상동례수,대조조、관찰조안이충무화방법진행대비.대조조:안전통양기구동무화방법.관찰조:안개량양기구동무화방법지안장호적무화기(동전통방법),단양표적습화병내방이가온지45℃증류수,분취개직접접무창통기비새분무.이조환인균선택뉴방E360호흡궤보조통기,분무시잠정정압통기,완성무화재계속접무창정압통기,분무20분종후관찰환인불량반응급배담효과.결과 량조환인무화흡입불량반응발생정황비교、무화흡입배담효과비교균유통계학의의(P＜0.01).결론 관찰조무화흡입발생불량반응정황명현감소,무화흡입후배담효과호,유현저림상의의.
Objective To seek a more comfortable and effective inhalation method in noninvasive positive pressure ventilation combined with nasal aerosol inhalation.Methods The pediatric patients with three different diseases were randomly assigned to a control group or a study group based on two kinds of aerosol inhalation method.The control group received traditional oxygen-driven aerosol inhalation; while the study group received modified oxygen-driven aerosol inhalation method (traditional method),with the humidification bottle of the oxygen meter filled with distilled water of 45 ℃ and a direct connection of nozzle to non-invasive ventilation.The patients in bothgroups were mechanically ventilated via the Pradesh E360.Positive pressure ventilation suspended during aerosol inhalation and then continued after completion of inhalation.The adverse reactions and expectoration effect were observed 20 minutes after aerosol inhalation.Results The rate of adverse reactions and the expectoration effect differed significantly between the two groups (P ＜0.01).Conclusions Aerosol inhalation has fewer adverse reactions and a better expectoration effect,which has marked clinical significance.