CAJ | 학술논문

目的：探讨临床有效治疗新生儿气胸的可靠方法，为新生儿气胸的临床研究和治疗实践提供参考和借鉴依据。方法本研究选取2010年12月至2013年12月绵阳市人民医院收治的新生儿气胸患儿92例，随机分成常规呼吸机组和高频呼吸机组，每组46例，分别实施传统常频通气治疗和高频振荡通气治疗。观察并比较两组治疗前后的氧合指数值和动脉/肺泡氧分压比值。结果高频呼吸机组治疗后24 h和48 h氧全指数水平均显著优于常规呼吸机组，差异有统计学意义（ t=3.8544，5.7208，P均<0.05）；高频呼吸机组治疗后24 h和48 h的动脉/肺泡氧分压比值均显著优于常规呼吸机组，差异有统计学意义（ t=6.3553，6.3803，P均<0.05）。结论在临床针对新生儿气胸患儿实施治疗的实践过程中，与传统常频通气治疗方法比较，采用高频振荡通气治疗新生儿气胸的临床治疗效果显著，是临床针对新生儿气胸患儿实施治疗的理想选择之一。
목적：탐토림상유효치료신생인기흉적가고방법，위신생인기흉적림상연구화치료실천제공삼고화차감의거。방법본연구선취2010년12월지2013년12월면양시인민의원수치적신생인기흉환인92례，수궤분성상규호흡궤조화고빈호흡궤조，매조46례，분별실시전통상빈통기치료화고빈진탕통기치료。관찰병비교량조치료전후적양합지수치화동맥/폐포양분압비치。결과고빈호흡궤조치료후24 h화48 h양전지수수평균현저우우상규호흡궤조，차이유통계학의의（ t=3.8544，5.7208，P균<0.05）；고빈호흡궤조치료후24 h화48 h적동맥/폐포양분압비치균현저우우상규호흡궤조，차이유통계학의의（ t=6.3553，6.3803，P균<0.05）。결론재림상침대신생인기흉환인실시치료적실천과정중，여전통상빈통기치료방법비교，채용고빈진탕통기치료신생인기흉적림상치료효과현저，시림상침대신생인기흉환인실시치료적이상선택지일。
Objective To further investigate a reliable method for the treatment of neonatal pneumothorax,and thus to pro-vide reference for clinical reference and treatment practices for neonatal pneumothorax. Methods The clinical data of 92 pa-tients with neonatal pneumothorax from December 2010 to December 2013 in Mianyang People’s Hospital were chosen and ran-domly divided into the conventional breathing machine group and high-frequency breathing group,with 46 cases in each group. They were taken with traditional normal frequency ventilation therapy and high-frequency oscillatory ventilation therapy separate-ly. The oxygenation index value and arterial/alveolar oxygen tension rates for the two groups before and after conventional ventila-tor therapy and high-frequency ventilator therapy were observed and compared. Results The oxygenation index values for the two groups of 24 h and 48 h after treatment were compared. The statistical data showed that the level of children with high-frequency was significantly better than the children with regular breathing group,and the differences were significant( t=3. 8544,5. 7208, P<0. 05). The arterial/alveolar oxygen tension rate for the two groups after treatment at 24 h and 48 h were also compared. The statistics indicators showed that the level of the high-frequency group was significantly superior to the conventional children,and the differences of the two groups were significant(t= 6. 3553,6. 3803,P<0. 05). Conclusion In clinical practice for the treatment of children with neonatal pneumothorax implementation,the clinical effect of high frequency oscillatory ventilation treat-ment of neonatal pneumothorax is significant in comparison with the conventional constant-frequency ventilation therapy,and it is a good choice for the treatment of neonatal pneumothorax.