中外医学研究
中外醫學研究
중외의학연구
Chinese and Foreign Medical Research
2015年
32期
10-11
,共2页
双相正压通气%机械通气%早产儿%新生儿%呼吸窘迫综合征%呼吸暂停
雙相正壓通氣%機械通氣%早產兒%新生兒%呼吸窘迫綜閤徵%呼吸暫停
쌍상정압통기%궤계통기%조산인%신생인%호흡군박종합정%호흡잠정
Biphasic positive airway pressure%Mechanical ventilation%Preterm infants%Newborn%Respiratory distress syndrome%Apnea
目的:探讨使用经鼻双相正压通气(biPhasic)在早产儿救治中的应用.方法:比较分析60例早产合并呼吸窘迫综合征以及原发性呼吸暂停患儿,分别应用鼻塞持续气道正压(nasal continuous positive airway pressure,NCPAP)和BiPhasic模式治疗,从上机时间、需改有创机械通气例数等进行比较.结果:BiPhasic治疗组患儿的上机时间和改有创机械通气例数均较NCPAP组明显减少,而且在保障有效通气的前提下呼吸末压力较NCPAP组为低,两组比较差异均有统计学意义(P<0.05).结论:经鼻双相正压通气可作为早产儿合并RDS及呼吸暂停的首选治疗措施之一,明显优于NCPAP,尽早正确使用可以使许多患儿避免有创通气.
目的:探討使用經鼻雙相正壓通氣(biPhasic)在早產兒救治中的應用.方法:比較分析60例早產閤併呼吸窘迫綜閤徵以及原髮性呼吸暫停患兒,分彆應用鼻塞持續氣道正壓(nasal continuous positive airway pressure,NCPAP)和BiPhasic模式治療,從上機時間、需改有創機械通氣例數等進行比較.結果:BiPhasic治療組患兒的上機時間和改有創機械通氣例數均較NCPAP組明顯減少,而且在保障有效通氣的前提下呼吸末壓力較NCPAP組為低,兩組比較差異均有統計學意義(P<0.05).結論:經鼻雙相正壓通氣可作為早產兒閤併RDS及呼吸暫停的首選治療措施之一,明顯優于NCPAP,儘早正確使用可以使許多患兒避免有創通氣.
목적:탐토사용경비쌍상정압통기(biPhasic)재조산인구치중적응용.방법:비교분석60례조산합병호흡군박종합정이급원발성호흡잠정환인,분별응용비새지속기도정압(nasal continuous positive airway pressure,NCPAP)화BiPhasic모식치료,종상궤시간、수개유창궤계통기례수등진행비교.결과:BiPhasic치료조환인적상궤시간화개유창궤계통기례수균교NCPAP조명현감소,이차재보장유효통기적전제하호흡말압력교NCPAP조위저,량조비교차이균유통계학의의(P<0.05).결론:경비쌍상정압통기가작위조산인합병RDS급호흡잠정적수선치료조시지일,명현우우NCPAP,진조정학사용가이사허다환인피면유창통기.
Objective:To investigate the using of nasal biphasic positive airway pressure(BiPhasic) in preterm infants.Method:60 preterm infants with respiratory distress syndrome and primary apnea were compared and analysized,who were applied nasal continuous positive airway pressure(NCPAP) and BiPhasic mode treatment respectively,the time from the machine and needed to change the number of cases of invasive mechanical ventilation were compared.Result:The BiPhasic group computer time and the number of the changing of invasive mechanical ventilation was significantly reduced which compared with NCPAP group,and the premise of ensuring effective ventilation of the end of the breath pressure was lower than the NCPAP group,the difference was statistically significant(P<0.05).Conclusion:Nasal biphasic positive airway pressure can be used as one of the treatment of respiratory distress syndrome and primary apnea,significantly better than NCPAP,as soon as the proper using can make many preterm infants avoiding invasive ventilation.
