首页|观察LISA技术联合NCPAP治疗新生儿呼吸窘迫综合征的有效性

观察LISA技术联合NCPAP治疗新生儿呼吸窘迫综合征的有效性

Effectiveness of LISA Technology Combined with NCPAP in the Treat-ment of Neonatal Respiratory Distress Syndrome

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目的 分析新生儿呼吸窘迫综合征采取侵入性肺表面活性物质治疗(Less Invasive Surfactant Adminis-tration,LISA)技术联合经鼻持续气道正压(Transnasal Continuous Positive Airway Pressure,NCPAP)的有效性.方法 随机选取2021年4月—2023年6月济宁市第一人民医院儿科80例新生儿呼吸窘迫综合征患儿为研究对象,采取抽签法分为分析组和参照组,每组40例.分析组采取LISA技术联合NCPAP治疗,参照组采取气管插管肺表面活性物质灌注治疗,对比两组治疗效果.结果 治疗后,分析组治疗总有效率(95.00%)高于参照组(75.00%),差异有统计学意义(χ2=6.274,P=0.012).治疗后,分析组机械通气时间、住院时间、吸氧时间均短于参照组,差异有统计学意义(P均<0.05).治疗后,分析组晚期氧化蛋白产物(Advanced Oxidation Pro-tein Products,AOPPs)水平低于参照组,差异有统计学意义(P<0.05).治疗后,分析组血气指标及肺循环功能指标均优于参照组,差异有统计学意义(P均<0.05).分析组不良反应总发生率低于参照组,差异有统计学意义(P<0.05).结论 LISA技术联合NCPAP治疗新生儿呼吸窘迫综合征有利于改善新生儿血氧指标,改善患儿肺功能循环,缩短新生儿机械通气时间,减少不良反应的发生.
Objective To analyze the effectiveness of less invasive surfactant administration(LISA)combined with transnasal continuous positive airway pressure(NCPAP)for neonatal respiratory distress syndrome.Methods A total of eighty children with neonatal respiratory distress syndrome in the pediatrics department of Jining First People's Hospi-tal from April 2021 to June 2023 were randomly selected as the study objects and divided into analysis group and ref-erence group by drawing lots,with forty cases in each group.Analysis group was treated with LISA technology com-bined with NCPAP,and reference group was treated with tracheal intubation and pulmonary surfactant perfusion.The therapeutic effect of the two groups was compared.Results After treatment,the effective rate of the analysis group(95.00%)was higher than that of the reference group(75.00%),the difference was statistically significant(χ2=6.274,P=0.012).After treatment,the mechanical ventilation time,hospitalization time and oxygen inhalation time in the analy-sis group were shorter than those in the reference group,and the differences were statistically significant(all P<0.05).After treatment,the level of advanced oxidation protein products(AOPPs)in analysis group was lower than that in ref-erence group,and the difference was statistically significant(P<0.05).After treatment,blood gas indexes and pulmo-nary circulation function indexes in analysis group were better than those in reference group,and the differences were statistically significant(both P<0.05).The incidence of adverse reactions in analysis group was lower than that in refer-ence group,and the difference was statistically significant(P<0.05).Conclusion LISA technology combined with NCPAP in the treatment of neonatal respiratory distress syndrome is beneficial to improve the blood oxygen index of newborns,improve the pulmonary functional circulation,shorten the mechanical ventilation time of newborns,and re-duce the occurrence of adverse reactions.

LISA technologyNeonatal respiratory distress syndromeNCPAP therapyAdverse reaction

孟靓靓

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济宁市第一人民医院儿科,山东 济宁 272000

LISA技术 新生儿呼吸窘迫综合征 NCPAP治疗 不良反应

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(17)