面罩持续气道正压机械通气治疗小儿重症肺炎疗效分析

摘要

Objective:To investigate the clinical effects of the mask continuous positive airway pressure(CPAP)me-chanical ventilation in children with severe pneumonia.Methods:A total of 100 children with severe pneumonia were randomly divided into two groups:treatment group and control group,with 50 cases in each group.These 100 children were given com-prehensive treatment measures:treatment of anti-infection,anti-respiratory failure,anti-heart failure(if necessary),relieving cough and reducing sputum,aerosol inhalation,limited fluid volume,nutrition support,etc.Children in the treatment group were added mask continuous positive airway pressure mechanical ventilation(CPAP);while children in the control group were added ordinary mask oxygen inhalation.Curative effects in these two groups were observed.Results:After treatment,SaO2、PaO2in both two groups were significantly higher than those before the treatment(P<0.05).PaO2of the treatment group is obviously higher than the control group(P<0.05).The oxygen inhalation time of treatment group was obviously lesser than that of the control group(P<0.05).The total effective rate of the study group was significantly higher than the control group (P<0.01).Conclusion:The mask continuous positive airway pressure(CPAP)mechanical ventilation can significantly im-prove the related symptoms and blood gas status of the children with severe pneumonia,shorten the oxygen inhalation time and have a remarkable effect.%目的:观察面罩持续气道正压机械通气(CPAP)在小儿重症肺炎的临床疗效.方法:重症肺炎患儿100例,随机分为治疗组50例,对照组50例.100例患儿均予抗感染、抗呼衰、抗心衰(必要时)、止咳化痰、雾化吸入、限制液量、营养支持等综合治疗措施.治疗组患儿加面罩持续气道正压机械通气(CPAP)治疗,对照组加普通面罩吸氧,观察比较两组疗效.结果:两组治疗后血氧饱和度(SaO2)、动脉氧分压(PaO2)显著高于治疗前(P<0.05),而治疗组治疗后PaO2显著高于对照组(P<0.05),治疗组治疗后吸氧时间显著少于对照组(P<0.05),且治疗组患儿总有效率显著高于对照组(P<0.01).结论:面罩持续气道正压机械通气能够显著改善小儿重症肺炎的相关症状及血气状况,缩短吸氧时间,效果显著.