持续气道正压通气治疗儿童呼吸衰竭的疗效观察.pdf

· 22 · 临床医学 2014 年 5 月第 34 卷第 5 期 Clinical Medicine,May 2014,Vol. 34,No. 5
持续气道正压通气治疗儿童呼吸衰竭的疗效观察
何小城林业辉范联
(广东省佛山市妇幼保健院儿科,佛山 528000)
【摘要】目的探讨鼻塞式持续气道正压通气(CPAP)治疗儿童呼吸衰竭的疗效。方法 42 例不同原因引起的呼吸衰
竭患儿使用常规氧疗、鼻塞式 CPAP 及呼吸机进行治疗,比较治疗前后的临床情况(气喘、气促、三凹征)、动脉血气[pH、
动脉血氧分压( ) 动脉血二氧化碳分压( )]的变化及住院时间预后等结果常规氧疗有效率为,
PaO2 、 PaCO2 、。 50%
CPAP 有效率为 79% ,呼吸机有效率为 100% 。住院时间 CPAP 组为 8. 9 d,较常规氧疗(12. 5 d)和呼吸机治疗(12. 7 d)
均明显缩短(P < 0. 05)。结论鼻塞式 CPAP 治疗儿童呼吸衰竭疗效显著,可以减少有创通气的应用及缩短住院时间,
避免了有创呼吸支持对儿童气道的损害,具有无创伤、易操作、低费用、高疗效等优点,值得推广应用。
【关键词】鼻塞式持续气道正压通气;儿童;呼吸衰竭
Curative effect of continuous positive airway pressure on children with respiratory failure HE Xiao-cheng,LIN Ye-
hui,FAN Lian. Department of Pediatrics,Maternity and Child Health Hospital of Foshan,Foshan 528000,China
【Abstract】 Objective To investigate the curative effect of nasal continuous positive airway pressure( NCPAP) on children
with respiratory failure. Methods Forty-two children with respiratory failure caused by different reasons,were treated with gen-
eral oxygen treatment,NCPAP and the ventilator. The clinical situations ( asthma,shortness of breath,and three depression
), ( , , ) ,
sign the changes of arterial blood gas analysis pH and PaO2 and PaCO2 the hospital stays and prognosis before and after
treatment pared. Results The effective rate of conventional oxygen therapy was 50% ,CPAP was 79% ,ventilator was