按摩与康复医学
按摩與康複醫學
안마여강복의학
Chinese Manipulation & Rehabilitation Medicine
2015年
14期
14-15
,共2页
早产儿%新生儿呼吸窘迫综合征%肺表面活性物质%持续气道正压通气%呼吸困难
早產兒%新生兒呼吸窘迫綜閤徵%肺錶麵活性物質%持續氣道正壓通氣%呼吸睏難
조산인%신생인호흡군박종합정%폐표면활성물질%지속기도정압통기%호흡곤난
premature infant%neonatal respiratory distress syndrome%pulmonary surfactant%continuous positive-pressure ventilation%dyspnea
目的：探讨持续气道正压通气（CPAP）联合肺表面活性物质（珂立苏）治疗早产儿呼吸窘迫综合征（NRDS）的疗效。方法：36例呼吸困难早产儿早期均采用CPAP联合珂立苏肺表面活性物质治疗，观察患儿治疗前后的CPAP参数及临床症状的变化。结果：33例患儿治疗后呼吸困难状况得到明显改善，X线片亦显示病情明显好转；治疗2小时后，患儿的FiO2、PEEP均较治疗前显著改善（P<0.05）。结论：CPAP联合肺表面活性物质早期治疗NRDS早产儿疗效显著，可减少并发症的发生，且对胎龄<32周的早产儿疗效更佳。
目的：探討持續氣道正壓通氣（CPAP）聯閤肺錶麵活性物質（珂立囌）治療早產兒呼吸窘迫綜閤徵（NRDS）的療效。方法：36例呼吸睏難早產兒早期均採用CPAP聯閤珂立囌肺錶麵活性物質治療，觀察患兒治療前後的CPAP參數及臨床癥狀的變化。結果：33例患兒治療後呼吸睏難狀況得到明顯改善，X線片亦顯示病情明顯好轉；治療2小時後，患兒的FiO2、PEEP均較治療前顯著改善（P<0.05）。結論：CPAP聯閤肺錶麵活性物質早期治療NRDS早產兒療效顯著，可減少併髮癥的髮生，且對胎齡<32週的早產兒療效更佳。
목적：탐토지속기도정압통기（CPAP）연합폐표면활성물질（가립소）치료조산인호흡군박종합정（NRDS）적료효。방법：36례호흡곤난조산인조기균채용CPAP연합가립소폐표면활성물질치료，관찰환인치료전후적CPAP삼수급림상증상적변화。결과：33례환인치료후호흡곤난상황득도명현개선，X선편역현시병정명현호전；치료2소시후，환인적FiO2、PEEP균교치료전현저개선（P<0.05）。결론：CPAP연합폐표면활성물질조기치료NRDS조산인료효현저，가감소병발증적발생，차대태령<32주적조산인료효경가。
Objective:To investigate the efficacy of continuous positive-pressure ventilation (CPAP) combined with pulmonary surfactant (Calsurf) for neonatal respiratory distress syndrome (NRDS). Methods:36 cases of premature infants with NRDS were all treated by CPAP combined with Cal-surf, observed the change of CPAP parameters and clinlcal symptoms before and after treatment. Results:After treatment, the dyspnea status in 33 cases of children had significantly improved, the X ray also showed that their illness had significantly turned better;2 hours after treatment, com-pared with those of before treatment, the FiO2 and PEEP of all of the children had significantly improved (P<0.05). Conclusion:The treatment of CPAP combined with pulmonary surfactant has significant curative effect on premature infants with NRDS, which can reduce the occurrence of com-plications, and the efficacy would be better if the age of premature infant is less than 32 weeks.
