Observation on the effect of T-piece resuscitator on respiratory support in premature infants
Objective To explore the effect of T-piece resuscitator on respiratory support in premature infants.Methods A retrospective analysis was conducted on 46 premature infants admitted to the Department of Pediatrics of Danyang Maternal and Child Health Care Hospital from January 2018 to December 2019 as the control group,and 42 premature infants admitted from June 2021 to December 2022 as the observation group.Traditional auto-inflated resuscitation airbags were adopted for the control group for respiratory support,while T-piece resuscitators were adopted for the observation group for respiratory support.The 1-minute,5-minute,and 10-minute Apgar scores of the two groups of children,and body temperature at admission to the neonatal intensive care unit(NICU),resuscitation success rate,air leakage rate,mechanical ventilation rate,pulmonary surfactant(PS)usage rate,oxygen supply time,mechanical ventilation time,hospitalization time,hospitalization cost,blood gas indicators before treatment and after 48 hours of treatment and occurrence of complications were compared.Results The 1-minute,5-minute,and 10-minute Apgar scores between the two groups of premature infants were compared,without statistically significant differences(P>0.05).The body temperature at admission to the NICU of the control group was significantly lower than that of the observation group,with statistically significant difference(P<0.05).The resuscitation success rate in the observation group was 95.24％,significantly higher than 76.09％in the control group.The air leakage rate,mechanical ventilation rate,and PS usage rate were 7.14％,14.29％,and 14.29％respectively,which were significantly lower than 36.96％,47.83％,and 50.00％in the control group,with statistically significant differences between the two groups(P<0.05).The observation group showed significantly shorter oxygen supply time,mechanical ventilation time and hospitalization time,and lower hospitalization costs compared to the control group,with statistically significant differences(P<0.05).After treatment,the pulmonary arterial oxygen tension(PaO2),the full name of oxygen saturation(SaO2),and public health(pH)values between the two groups were compared,without statistically significant differences(P>0.05),but the arterial partial pressure of carbon dioxide(PaCO2)level in the observation group was significantly lower than that in the control group after treatment,with statistically significant difference(P<0.05).The incidence of complications between the two groups was compared,without statistically significant difference(P>0.05).Conclusion The application of T-piece resuscitator in respiratory support for premature infants can effectively reduce the probability of the air leakage rate,mechanical ventilation rate,and PS usage rate,and improve the resuscitation success rate.At the same time,it can reduce the total time of oxygen supply,mechanical ventilation time,and hospitalization time,enabling premature infants to recover as soon as possible.
万方数据
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