首页|不同剂量珂立苏治疗重症新生儿呼吸窘迫综合征的对照研究

不同剂量珂立苏治疗重症新生儿呼吸窘迫综合征的对照研究

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目的 探讨不同剂量珂立苏治疗重症新生儿呼吸窘迫综合征(NRDS)的价值。方法 将 2020 年 1 月至 2023 年 6 月在廉江市人民医院新生儿重症监护室医治的 126 例重症NRDS患儿按照随机数表法分为A、B、C组。A、B、C组分别给予 70、100、140 mg/kg珂立苏。比较三组的血气指标、治疗情况、住院费用、住院时间及并发症。结果 与A组比较,B组和C组治疗 6 h后的动脉二氧化碳分压、珂立苏用药次数≥2 构成比、化验费、治疗费和护理费均明显更低,治疗 6 h后的动脉血氧分压和氧合指数均明显更高,辅助通气时间、氧疗时间和总住院时间均明显更短,差异有统计学意义(P<0。05)。药物费和总住院费以B组最低,C组次之,A组最高,差异有统计学意义(P<0。05)。结论 100 mg/kg珂立苏治疗重症NRDS可降低药物费和总住院费。100、140 mg/kg珂立苏治疗NRDS在改善血气指标,减少珂立苏用药次数,缩短辅助通气时间、氧疗时间和住院时间方面均优于 70 mg/kg珂立苏。
A comparative study of different doses of Calsurf in the treatment of severe neonatal respiratory distress syndrome
Objective To explore the value of different doses of Calsurf in the treatment of severe neonatal respiratory distress syndrome(NRDS).Methods A total of 126 children with severe NRDS treated in the neonatal intensive care unit of Lianjiang People's Hospital from January 2020 to June 2023 were divided into groups A,B,and C by random table method.Groups A,B,and C were given 70 mg/kg,100 mg/kg,and 140 mg/kg of Calsurf,respectively.The blood gas indicators,treatment status,hospitalization costs,length of stay,and complications among the three groups were compared.Results Compared with Group A,Group B and Group C had significantly lower arterial carbon dioxide partial pressure,a ratio of≥2 times of use of Calsurf,laboratory expenses,treatment expenses,and nursing expenses after 6 hours of treatment.The arterial oxygen partial pressure and oxygenation index were significantly higher after 6 hours of treatment,and the time for auxiliary ventilation,oxygen therapy,and total hospitalization were significantly shorter,with statistically significant differences(P<0.05).The drug and total hospitalization expenses were the lowest in Group B,followed by Group C,and the highest in Group A,with statistically significant differences(P<0.05).Conclusion 100 mg/kg Calsurf can reduce medication costs and total hospitalization expenses in the treatment of severe NRDS.The treatment of NRDS with 100 mg/kg and 140 mg/kg Calsurf is superior to 70 mg/kg Calsurf in improving blood gas indicators,reducing the frequency of Calsurf medication,shortening auxiliary ventilation time,oxygen therapy time,and hospital stay.

CalsurfNeonatal respiratory distress syndromeDoseComparative study

冯炳棋、何伟金、吴阳志、邓锦有

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广东省廉江市人民医院新生儿科,广东廉江 524400

珂立苏 新生儿呼吸窘迫综合征 剂量 对照研究

广东省湛江市科技计划

2020B01058

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(5)
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