Clinical research of continuous positive airway pressure with prone position in treating premature respiratory distress
10.3969/j.issn.1671-8348.2013.26.026
- VernacularTitle:俯卧位持续气道正压通气治疗早产儿呼吸窘迫的临床研究
- Author:
Wei DUAN
;
Ming YI
;
Jia JIA
- Publication Type:Journal Article
- Keywords:
continuous positive airway pressure;
prone position;
respiratory distress syndrome,newborn
- From:
Chongqing Medicine
2013;(26):3136-3138
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of continuous positive airway pressure (CPAP) with the prone position for treating premature respiratory distress .Methods 50 cases of premature moderate respiratory distress needing CPAP assisted ventilation in our department from May 2011 to May 2012 were randomly divided into the experimental group (25 cases) and the control group(25 cases);the experimental group took the prone position and the control group took the supine position .Each group was divided into the 4 time intervals of 0 ,1 ,6 ,24h according to different treatment time ,and PaO2 ,PaCO2 ,RR ,FiO2 and oxygenation index(OI) at the each time interval were monitored .Results Compared with the control group ,the decrease of PaCO2 ,FiO2 and RR in the experimental group had significant difference with statistical significance (P< 0 .05);the increase of PaO2 and OI was more obvious ,the difference showing statistical significance (P<0 .05) .Compared with the control group ,the occurrence rate of apnea and gastric retention in the experimental group was lower with statistical significance ;but the occurrence of nasal tampon accidental drop and nasal mucosal erosion had no difference between the two groups .Conclusion CPAP is effective in treating preterm infants with moderate respiratory distress ,the prone position is more conducive to oxygenation than the supine position and reduces the occurrence rate of apnea and gastric retention .
