早期持续气道正压通气治疗儿童重症肺炎并呼吸衰竭的临床疗效观察

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英文篇名：Clinical Efficacy of Early Continuous Positive Airway Pressure Treatment of Children with Severe Pneumonia and Respiratory Failure 作者：李林祖 ; 黄诚花 ; 梁秀琼 ; 何海燕 ; 吕波 ; 严智先 英文作者：LI Linzu;HUANG Chenghua;LIANG Xiuqiong;Zhaoqing First People’s Hospital; 关键词：小儿重症肺炎 ; 呼吸衰竭 ; 早期 ; 持续气道正压通气 英文关键词：Severe pneumonia in children;;Respiratory failure;;Early stage;;Continuous positive airway pressure 中文刊名：ZYCX 英文刊名：Medical Innovation of China 机构：广东省肇庆市第一人民医院; 出版日期：2019-03-15 出版单位：中国医学创新 年：2019 期：v.16;No.470 基金：肇庆市科技创新计划项目(20160403054) 语种：中文; 页：ZYCX201908011 页数：4 CN：08 ISSN：11-5784/R 分类号：39-42

摘要

目的:观察对儿童重症肺炎并呼吸衰竭患者实施早期持续气道正压通气(CPAP)的临床疗效。方法:选取2015年1月-2018年1月本院收治的重症肺炎并呼吸衰竭患儿40例。按照随机数字表法将其分为观察组与对照组,各20例。对照组实施常规治疗,观察组在此基础上早期联合CPAP治疗。比较两组临床治疗效果、临床症状缓解时间,治疗前后的生命体征、血气分析指标及小儿危重症评分(PCIS)。结果:观察组总有效率高于对照组(P<0.05),临床症状缓解时间短于对照组(P<0.05);治疗后,观察组生命体征、血气分析指标、PCIS评分均较治疗前改善,且观察组均优于对照组,差异均有统计学意义(P<0.05)。结论:对小儿重症肺炎并呼吸衰竭患者实施早期CPAP治疗,能够有效改善患者血氧状况,恢复、稳定生命体征,明显促进临床症状的恢复,且缩短了症状恢复的时间,具有理想的临床疗效及进一步推广价值。
        Objective:To observe the clinical effect of early continuous positive airway pressure ventilation in children with severe pneumonia and respiratory failure.Method:A total of 40 children with severe pneumonia and respiratory failure admitted to our hospital from January 2015 to January 2018 were selected.According to the random number table method,they were divided into observation group and control group,20 cases in each group.The control group received routine treatment,while observation group received early CPAP treatment.The clinical efficacy,remission time of clinical symptoms,vital signs,blood gas analysis index and pediatric critical illness score(PCIS)before and after treatment between two groups were compared.Result:The total effective rate in observation group was higher than that of control group(P<0.05),and the remission time of clinical symptoms was shorter than that of control group(P<0.05).After treatment,the vital signs,blood gas analysis index and PCIS score of observation group were improved compared with those of before treatment,and observation group were better than those of control group,the differences were statistically significant(P<0.05).Conclusion:Early CPAP treatment for children with severe pneumonia and respiratory failure can effectively improve the blood oxygen status,restore and stabilize vital signs,significantly promote the recovery of clinical symptoms,and shorten the recovery time of symptoms,it has ideal clinical efficacy and further promotion value.

引文

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