中国医学装备
中國醫學裝備
중국의학장비
China Medical Equipment
2015年
10期
78-80,81
,共4页
任香娣%彭艳%王春芹%孙献梅
任香娣%彭豔%王春芹%孫獻梅
임향제%팽염%왕춘근%손헌매
新生儿%肺动脉高压%硫酸镁%常频通气
新生兒%肺動脈高壓%硫痠鎂%常頻通氣
신생인%폐동맥고압%류산미%상빈통기
Newborn%Persistent pulmonary hypertension%Magnesium sulfate%Conventional mechanical ventilation
目的:观察硫酸镁联合常频机械通气治疗新生儿持续肺动脉高压(PPHN)的临床效果。方法:选择60例确诊并接受治疗的PPHN患儿,根据就诊时间的不同将其分为观察组与对照组,每组30例。两组均给予常频机械通气,观察组同时给予硫酸镁药物治疗。观察两组治疗前及治疗后6 h、24 h及48 h动脉血气情况,每日监测患者血镁、血钙;治疗前及治疗48 h后采用床旁超声心动图监测肺动脉收缩压(PAP);观察有无不良反应。结果:两组患儿治疗6 h、24 h后,观察组患儿pH值、动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)、经皮血氧饱和度(TcSaO2)等指标明显优于对照组,治疗48 h后观察组PaCO2、PaO2、pH值和TcSaO2指标显著高于对照组,差异有统计学意义(t=11.091, t=6.243,t=18.079,t=15.229;P<0.05)。血镁值浓度水平达到了有效的治疗浓度、血钙值浓度水平维持在正常范围内;观察组患儿PAP下降较对照组显著,差异有统计学意义(t=8.918,P<0.05);治疗中未见明显的不良反应。结论:硫酸镁联合常频机械通气治疗新生儿持续肺动脉高压效果好,技术操作简单,值得推广应用。
目的:觀察硫痠鎂聯閤常頻機械通氣治療新生兒持續肺動脈高壓(PPHN)的臨床效果。方法:選擇60例確診併接受治療的PPHN患兒,根據就診時間的不同將其分為觀察組與對照組,每組30例。兩組均給予常頻機械通氣,觀察組同時給予硫痠鎂藥物治療。觀察兩組治療前及治療後6 h、24 h及48 h動脈血氣情況,每日鑑測患者血鎂、血鈣;治療前及治療48 h後採用床徬超聲心動圖鑑測肺動脈收縮壓(PAP);觀察有無不良反應。結果:兩組患兒治療6 h、24 h後,觀察組患兒pH值、動脈血氧分壓(PaO2)、動脈血二氧化碳分壓(PaCO2)、經皮血氧飽和度(TcSaO2)等指標明顯優于對照組,治療48 h後觀察組PaCO2、PaO2、pH值和TcSaO2指標顯著高于對照組,差異有統計學意義(t=11.091, t=6.243,t=18.079,t=15.229;P<0.05)。血鎂值濃度水平達到瞭有效的治療濃度、血鈣值濃度水平維持在正常範圍內;觀察組患兒PAP下降較對照組顯著,差異有統計學意義(t=8.918,P<0.05);治療中未見明顯的不良反應。結論:硫痠鎂聯閤常頻機械通氣治療新生兒持續肺動脈高壓效果好,技術操作簡單,值得推廣應用。
목적:관찰류산미연합상빈궤계통기치료신생인지속폐동맥고압(PPHN)적림상효과。방법:선택60례학진병접수치료적PPHN환인,근거취진시간적불동장기분위관찰조여대조조,매조30례。량조균급여상빈궤계통기,관찰조동시급여류산미약물치료。관찰량조치료전급치료후6 h、24 h급48 h동맥혈기정황,매일감측환자혈미、혈개;치료전급치료48 h후채용상방초성심동도감측폐동맥수축압(PAP);관찰유무불량반응。결과:량조환인치료6 h、24 h후,관찰조환인pH치、동맥혈양분압(PaO2)、동맥혈이양화탄분압(PaCO2)、경피혈양포화도(TcSaO2)등지표명현우우대조조,치료48 h후관찰조PaCO2、PaO2、pH치화TcSaO2지표현저고우대조조,차이유통계학의의(t=11.091, t=6.243,t=18.079,t=15.229;P<0.05)。혈미치농도수평체도료유효적치료농도、혈개치농도수평유지재정상범위내;관찰조환인PAP하강교대조조현저,차이유통계학의의(t=8.918,P<0.05);치료중미견명현적불량반응。결론:류산미연합상빈궤계통기치료신생인지속폐동맥고압효과호,기술조작간단,치득추엄응용。
Objective: To observe the clinical results of magnesium sulfate and conventional mechanical ventilation in the treatment of persistent pulmonary hypertension of newborn. Methods:Two groups of newborn with PPHN, were treated with conventional mechanical ventilation;The observation group was treated with magnesium sulfate saturation, and then adjusted its amount according to their condition, and then gradually decrease until stopped. Before treatment and after treatment 6 h, 24 h, 48 h, to observe arterial blood gas situation, daily monitoring of blood magnesium and blood calcium. Before treatment and after treatment 48 h, to measure pulmonary artery systolic pressure(PAP)by bedside echocardiography; To observe the adverse reactions. Results: After treatment, the observation group more significantly increased in PH value, PaO2(mmHg), TcSaO2(%),and more significantly declined in PaCO2(mmHg) than those in the control group (t=11.091, t=6.243, t=18.079, t=15.229; P<0.05). Blood Mg(mmol/L) reached an effective therapeutic concentrations, blood Ca(mmol/L) values were maintained within the normal range;the observation group more significantly declined in PAP(t=8.918, P<0.05);there were no serious adverse reaction. Conclusion:There are very good curative effect in the treatment of persistent pulmonary hypertension of newborn, with magnesium sulfate and conventional mechanical ventilation, the technology is simple and worth promotion.