CAJ | 학술논문

目的：对新生儿急性呼吸衰竭（NRDS）机械通气治疗中肺保护性通气策略的临床应用效果进行分析。方法：选取NRDS患儿74例，随机分为两组，对照组36例采用传统通气法，观察组38例采用肺保护通气策略，对比两组血气分析情况及并发症发生情况。结果：观察组PaCO2显著高于对照组，pH值显著低于对照组，住院时间显著短于对照组；观察组并发症发生率及病死率显著低于对照组。结论：在新生儿急性呼吸衰竭机械通气治疗中，采用肺保护性通气策略可促使患儿呼吸机相关性肺损伤发生率降低，大幅缩短患儿住院时间，值得推广。
목적：대신생인급성호흡쇠갈（NRDS）궤계통기치료중폐보호성통기책략적림상응용효과진행분석。방법：선취NRDS환인74례，수궤분위량조，대조조36례채용전통통기법，관찰조38례채용폐보호통기책략，대비량조혈기분석정황급병발증발생정황。결과：관찰조PaCO2현저고우대조조，pH치현저저우대조조，주원시간현저단우대조조；관찰조병발증발생솔급병사솔현저저우대조조。결론：재신생인급성호흡쇠갈궤계통기치료중，채용폐보호성통기책략가촉사환인호흡궤상관성폐손상발생솔강저，대폭축단환인주원시간，치득추엄。
for newborns with acute respiratory failure (NRDS) of mechanical ventilation in the treatment of lung protective ventilation strategies in application effect is analyzed. Method: choose 74 cases of children with NRDS, randomly divided into two groups, control group 36 cases using the traditional ventilation method, observation group of 38 cases of lung protective ventilation strategy, compared two groups of blood gas analysis and complications. Results: observation group PaCO2 is significantly higher than the control group, the pH value was significantly lower than the control group, in hospital time was significantly shorter than control group; Observation group incidence of complications and mortality was significantly lower than the control group. Conclusion: mechanical ventilation in neonatal acute respiratory failure, lung protective ventilation strategy can make children reduce the incidence of ventilator associated lung injury, greatly shortened with the length of time, is worth promoting.