中华灾害救援医学2024,Vol.11Issue(8) :942-944.DOI:10.13919/j.issn.2095-6274.ZHJY202407033

重症肺炎伴呼吸衰竭患儿开展急诊急救的措施

Emergency Measures for Children with Severe Pneumonia and Respiratory Failure

刘冬梅
中华灾害救援医学2024,Vol.11Issue(8) :942-944.DOI:10.13919/j.issn.2095-6274.ZHJY202407033

重症肺炎伴呼吸衰竭患儿开展急诊急救的措施

Emergency Measures for Children with Severe Pneumonia and Respiratory Failure

刘冬梅1
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作者信息

  • 1. 550000 贵州贵阳,上海儿童医学中心贵州医院儿童呼吸内科
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摘要

目的 分析尽早采取持续气道正压通气(Continuous Positive Airway Pressure,CPAP)在小儿重症肺炎急救中的应用价值.方法 选取2022年10月至2024年2月贵州省人民医院收治的80例重症肺炎伴呼吸衰竭患儿,根据随机数字表法分为观察组和对照组,每组40例.观察组采取CPAP,对照组采取经鼻导管吸氧,比较两组患儿的症状缓解时间、入院时和救治后血气相关指标、并发症发生情况.结果 观察组肺啰音消失所需时间、呼吸困难消失所需时间、心率恢复所需时间均显著短于对照组(P值均<0.001).入院时两组研究对象在PaO2、PaCO2、SaO2、pH水平上均无显著差异(P值均>0.05);经过救治后,两组上述指标均改善,且观察组PaO2、SaO2、pH水平均显著高于对照组,PaCO2水平均显著低于对照组(P值均<0.05).对照组的并发症总发生率为27.5%,显著高于观察组的7.50%(P=0.019).结论 CPAP应用于重症肺炎伴呼吸衰竭患儿的急诊急救中,不仅能缩短临床症状缓解时间、促进血气相关指标的改善,且能有效抑制病情的进展,降低并发症的发生率,干预效果理想.

Abstract

Objective To analyze the application value of early continuous positive airway pressure(CPAP)in the emergency treatment of pediatric severe pneumonia.Methods 80 children with severe pneumonia and res-piratory failure admitted to Guizhou Provincial People's Hospital from October 2022 to February 2024,are selected and dividedinto the observation group and a control group using a random number table method,with 40 cases in each group.The observation group received CPAP,while the control group received oxygen inhalation through a nasal cannula.The symptom relief time,blood gas related indicators at admission and after treatment,and incidence of complications were compared between the two groups of children.Results The time required for disappear-ance of lung rales,disappearance of dyspnea,and recovery of heart rate in the observation group were significant-ly shorter than those in the control group(P values<0.001).At admission,there were no significant differences in PaO2,PaCO2,SaO2,and pH levels between the two study groups(P values>0.05);After treatment,both groups showed improvement in the above indicators,and the observation group had significantly higher levels of PaO2,SaO2,and pH than those of the control group,while the PaCO2 level was significantly lower in the observation group compared to the control group(P values<0.05).The total incidence of complications in the control group was 27.5%,significantly higher than that(7.50%)in the observation group(P=0.019).Conclusion The application of CPAP in the emergency treatment of children with severe pneumonia and respiratory failure not only shortens the time to symptom relief and promotes the improvement of blood gas-related indicators but also effectively inhibits disease progression and reduces the incidence of complications,making it an ideal intervention.

关键词

肺炎/儿科学/持续气道正压通气

Key words

pneumonia/pediatrics/continuous positive airway pressure

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出版年

2024
中华灾害救援医学

中华灾害救援医学

影响因子:0.796
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