首页|浅析无创NCPAP与无创NIPPV在早产儿呼吸窘迫综合征治疗中的疗效对比

浅析无创NCPAP与无创NIPPV在早产儿呼吸窘迫综合征治疗中的疗效对比

扫码查看
目的 对比无创经鼻持续气道正压通气(NCPAP)和无创经鼻间歇正压通气(NIPPV)在早产儿呼吸窘迫综合征(RDS)临床治疗中的疗效.方法 选取2020年7月—2023年7月本院收治的RDS早产儿150例为研究对象,按随机分组法分为对照组和研究组,每组75例.对照组采用无创NCPAP治疗,研究组采用无创NIPPV治疗,对比两组治疗疗效.结果 无创通气后12h和24h两组血气分析指标相比,研究组PaO2水平比对照组高,FiO2水平比对照组低,组间对比差异有统计学意义(P<0.05);两组无创通气时间、氧疗时间、全肠道喂养时间及住院时间对比均不具明显的差别,无统计学意义(P>0.05);呼吸暂停发生率研究组低于对照组,7d内成功撤机概率研究组比对照组明显更高,组间对比差异有统计学意义(P<0.05).结论 对RDS早产儿采用NIPPV治疗能改善患儿氧合作用,减少呼吸暂停情况发展,提高成功撤概率,应用效果更有优势.
Curative Effect Comparison of Non-Invasive NCPAP and Non-Invasive NIPPV in Treatment of Respiratory Distress Syndrome of Premature Infants
Objective To compare curative effect of non-invasive nasal continuous positive airway pressure(NCPAP)and non-invasive nasal intermittent positive airway pressure(NIPPV)in clinical treatment of respiratory distress syndrome(RDS)of premature infants.Methods The paper chose 150 premature infants with RDS from July 2020 to July 2023,and divided them into two groups.Control group(75 cases)was treated with non-invasive NCPAP treatment,while study group(75 cases)with non-invasive NIPPV treatment.Curative effect between two groups was compared.Results Study group had higher levels of PaO2 and lower levels of FiO2 in blood gas analysis indicators at 12 and 24 hours after non-invasive ventilation than control group,comparison was statistically significant between groups,(P<0.05).There was no significant difference in non-invasive ventilation time,oxygen therapy time,total intestinal feeding time,and length of stay between two groups(P>0.05).Incidence of apnea in study group was lower than control group,and probability of successful withdrawal within 7 days in study group was significantly higher than control group,comparison was statistically significant between groups,(P<0.05).Conclusion NIPPV treatment can improve oxygenation,reduce development of apnea,increase probability of successful withdrawal of premature infants with RDS,which has advantages in application.

Non-invasive NCPAPNon invasive NIPPVRespiratory distress syndrome of premature infants

蔡信鑫

展开 >

揭阳市第三人民医院 儿科,广东 揭阳 522071

无创NCPAP 无创NIPPV 早产儿呼吸窘迫综合征

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(1)
  • 10