实用临床医学
實用臨床醫學
실용림상의학
Practical Clinical Medicine
2015年
9期
54-56
,共3页
原发性呼吸暂停%正压呼吸,自动充气式复苏囊%氧浓度%早产儿
原髮性呼吸暫停%正壓呼吸,自動充氣式複囌囊%氧濃度%早產兒
원발성호흡잠정%정압호흡,자동충기식복소낭%양농도%조산인
primary apnea%positive pressure breathing,automatic inflatable resuscitator bag%oxygen concentration%premature infants
目的：探讨不同氧浓度的复苏囊正压呼吸在早产儿原发性呼吸暂停中的应用效果。方法将120例原发性呼吸暂停患儿按不同氧浓度的复苏囊正压呼吸分为 A 组、B 组和 C 组，每组40例。3组均给予触觉刺激，并对患儿的呼吸道进行清理。在此基础上，A 组在接通储氧的自动充气式复苏囊前提下采用21％氧气行窒息复苏治疗，B 组在不接通储氧的自动充气式复苏囊的前提下采用40％氧气行窒息复苏治疗，C 组在接通储氧的自动充气式复苏囊的前提下采用100％氧气行窒息复苏治疗。观察3组动脉血氧分压（PO2）、动脉血二氧化碳分压（PCO2）及临床疗效。结果与 A 组比较，B、C 2组有效率均明显升高（均 P ＜0．05）；与 C 组比较，A、B 2组 PO2水平均明显降低（均 P ＜0．05）。结论对原发性呼吸暂停患儿采用氧浓度为40％的复苏囊正压呼吸，可有效地防止患儿出现低氧血症，提高了复苏效果，改善患儿的预后。
目的：探討不同氧濃度的複囌囊正壓呼吸在早產兒原髮性呼吸暫停中的應用效果。方法將120例原髮性呼吸暫停患兒按不同氧濃度的複囌囊正壓呼吸分為 A 組、B 組和 C 組，每組40例。3組均給予觸覺刺激，併對患兒的呼吸道進行清理。在此基礎上，A 組在接通儲氧的自動充氣式複囌囊前提下採用21％氧氣行窒息複囌治療，B 組在不接通儲氧的自動充氣式複囌囊的前提下採用40％氧氣行窒息複囌治療，C 組在接通儲氧的自動充氣式複囌囊的前提下採用100％氧氣行窒息複囌治療。觀察3組動脈血氧分壓（PO2）、動脈血二氧化碳分壓（PCO2）及臨床療效。結果與 A 組比較，B、C 2組有效率均明顯升高（均 P ＜0．05）；與 C 組比較，A、B 2組 PO2水平均明顯降低（均 P ＜0．05）。結論對原髮性呼吸暫停患兒採用氧濃度為40％的複囌囊正壓呼吸，可有效地防止患兒齣現低氧血癥，提高瞭複囌效果，改善患兒的預後。
목적：탐토불동양농도적복소낭정압호흡재조산인원발성호흡잠정중적응용효과。방법장120례원발성호흡잠정환인안불동양농도적복소낭정압호흡분위 A 조、B 조화 C 조，매조40례。3조균급여촉각자격，병대환인적호흡도진행청리。재차기출상，A 조재접통저양적자동충기식복소낭전제하채용21％양기행질식복소치료，B 조재불접통저양적자동충기식복소낭적전제하채용40％양기행질식복소치료，C 조재접통저양적자동충기식복소낭적전제하채용100％양기행질식복소치료。관찰3조동맥혈양분압（PO2）、동맥혈이양화탄분압（PCO2）급림상료효。결과여 A 조비교，B、C 2조유효솔균명현승고（균 P ＜0．05）；여 C 조비교，A、B 2조 PO2수평균명현강저（균 P ＜0．05）。결론대원발성호흡잠정환인채용양농도위40％적복소낭정압호흡，가유효지방지환인출현저양혈증，제고료복소효과，개선환인적예후。
ABSTRACT:Objective To investigate the efficacy of resuscitator bag with different concentra-tions of oxygen for positive pressure breathing in premature infants with primary apnea.Methods A total of 120 infants with primary apnea were divided into three groups,with 40 infants in each group.All infants were treated with tactile stimulus and respiratory tract cleaning.In addition,in-fants in group A were given resuscitation with 21% oxygen under the premise that automatic in-flatable resuscitator bag was used,infants in group B were given resuscitation with 40% oxygen under the premise that automatic inflatable resuscitator bag was not used,and infants in group C were given resuscitation with 100% oxygen under the premise that automatic inflatable resuscita-tor bag was used.Arterial partial pressure of oxygen(PO2 ),arterial partial pressure of carbon di-oxide(PCO2 )and clinical efficacy were observed in all the three groups.Results Compared with group A,the effective rate significantly increased in group B and group C(P <0.05).Compared with group C,PO2 significantly decreased in group A and group B(P <0.05).Conclusion The application of resuscitator bag with 40% oxygen for positive pressure breathing can prevent hyox-emia,increase resuscitation efficacy and improve prognosis in infants with primary apnea.
