首页|容量目标通气与高频振荡通气治疗新生儿呼吸窘迫综合征的效果比较

容量目标通气与高频振荡通气治疗新生儿呼吸窘迫综合征的效果比较

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目的:对比研究容量目标通气、高频振荡通气两种模式在新生儿呼吸窘迫综合征中的治疗效果.方法:随机将 2021 年 6 月—2023 年 6 月在湛江市妇幼保健计划生育服务中心治疗的新生儿呼吸窘迫综合征患儿 100 例分为对照组与研究组,每组 50 例.研究组采取高频振荡通气模式(高频机械通气+目标潮气量),对照组采取容量目标通气模式.对比两组动脉血气指标、并发症发生率、死亡率、有创通气时间、氧疗时间、住院时间.结果:研究组有创通气时间、氧疗时间、住院时间均短于对照组(P<0.05).两组死亡率(0 vs 8.00%)比较,差异无统计学意义(P>0.05).干预前两组血氧分压、血氧饱和度、pH值、二氧化碳分压比较,差异均无统计学意义(P>0.05);干预 48 h后,研究组的血氧分压、血氧饱和度、pH值较干预前和对照组均更高,二氧化碳分压较干预前和对照组更低(P<0.05).研究组的并发症发生率(10.00%)低于对照组(36.96%)(P<0.05).结论:高频振荡通气模式可以更有效地改善新生儿呼吸窘迫综合征患儿动脉血气指标,缩短康复时间,减少各类并发症出现.
Comparison of the Effect of Volume Target Ventilation and High Frequency Oscillation Ventilation in the Treatment of Neonatal Respiratory Distress Syndrome
Objective:To compare and study the therapeutic effects of volume target ventilation and high frequency oscillation ventilation in neonatal respiratory distress syndrome.Method:A total of 100 children with neonatal respiratory distress syndrome treated in Zhanjiang Maternal and Child Health and Family Planning Service Center from June 2021 to June 2023 were randomly divided into control group and study group,with 50 cases in each group.The study group adopted high frequency oscillation ventilation mode(high frequency mechanical ventilation + target tidal volume),and the control group adopted volume target ventilation mode.Arterial blood gas indexes,the incidence of complications,mortality,invasive ventilation time,oxygen therapy time and hospital stay were compared between the two groups.Result:Invasive ventilation time,oxygen therapy time and hospital stay in the study group were shorter than those in the control group(P<0.05).There was no significant difference in mortality between the two groups(0 vs 8.00%)(P>0.05).There were no significant differences in blood partial pressure of oxygen,oxyhemoglobin saturation,pH value and partial pressure of carbon dioxide between the two groups before intervention(P>0.05);after 48 h of intervention,the blood partial pressure of oxygen,oxyhemoglobin saturation and pH value of the study group were higher than those before intervention and control group,and the partial pressure of carbon dioxide of the study was lower than those before intervention and control group(P<0.05).The incidence of complications of the study group(10.00%)was lower than that of the control group(36.96%)(P<0.05).Conclusion:High frequency oscillation ventilation mode can effectively improve the arterial blood gas indexes of children with neonatal respiratory distress syndrome,shorten the recovery time and reduce the occurrence of various complications.

Volume target ventilationHigh frequency oscillation ventilationNeonatal respiratory distress syndrome

陈进勉、陈伟成、唐荔、蔡文双

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湛江市妇幼保健计划生育服务中心新生儿科 广东 湛江 524000

容量目标通气 高频振荡通气 新生儿呼吸窘迫综合征

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(5)
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