经鼻同步间歇指令通气对早产儿频发性呼吸暂停的疗效观察
Effect of Nasal Synchronous Intermittent Mandatory Ventilation on Frequent Apnea in Premature Infants
摘要: 目的：探讨经鼻同步间歇指令通气对早产儿频发性呼吸暂停的治疗效果。方法：选择本院于2017年1月至2018年1月期间收治的早产儿频发性呼吸暂停患儿64例作为研究资料，随机分组各32例，对照组为经鼻持续气道正压通气治疗，观察组为经鼻同步间歇指令通气治疗，观察两组疗效及血气指标改善情况，并观察并发症发生情况。结果：观察组患儿治疗有效率为93.75%，明显高于对照组75.00%，即观察组疗效更好，P < 0.05；治疗后，观察组pH值、动脉血氧分压、动脉血二氧化碳分压及吸入氧浓度明显改善，且改善程度显著优于对照组，P < 0.05；观察组发生腹胀率及二氧化碳潴留率分别为3.13%、3.13%，均显著低于对照组18.75%、21.88%，P < 0.05。结论：在早产儿频发性呼吸暂停治疗中实施经鼻同步间歇指令通气可进一步提高疗效，改善患儿呼吸症状，改善血气指标水平，并保证治疗安全性，减少并发症的发生，临床治疗价值较高。
Abstract: Objective: To investigate the therapeutic effect of nasal synchronous intermittent mandatory ven-tilation on frequent apnea in premature infants. Methods: From January 2017 to January 2018, 64 premature infants with frequent apnea were randomly divided into two groups: 32 cases in each group. The control group was treated with nasal continuous positive airway pressure (CPAP). The observation group was treated by nasal synchronous intermittent mandatory ventilation, the cur-ative effect and the improvement of blood gas index were observed, and the occurrence of com-plications was observed. Results: The effective rate of treatment in the observation group was 93.75, which was significantly higher than that in the control group (75.00), that is, the observation group had better curative effect than the control group (P after treatment, the pH value, partial pressure of oxygen in arterial blood, partial pressure of carbon dioxide in arterial blood and the concentration of inhaled oxygen were significantly improved in the observation group). The degree of improvement was significantly better than that of the control group (P < 0.05); the rate of abdominal distension and carbon dioxide retention in the observation group was 3.13 and 3.13, respectively, which were significantly lower than those in the control group (18.75) and 21.88 (P < 0.05). Conclusion: During the treatment of frequent apnea of premature infants, intermittent ven-tilation via nasal synchronization can further improve the curative effect, improve respiratory symptoms, improve blood gas index, ensure the safety of treatment and reduce the incidence of complications. The value of treatment is high.
文章引用：李敖龙. 经鼻同步间歇指令通气对早产儿频发性呼吸暂停的疗效观察[J]. 护理学, 2019, 8(3): 227-231. https://doi.org/10.12677/NS.2019.83043

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