Comparison of two kinds of noninvasive ventilation mode in premature infants with respiratory failure
10.3760/cma.j.issn.1673-4912.2016.04.005
- VernacularTitle:二种无创通气模式在早产儿呼吸衰竭中的应用
- Author:
Yongfu LI
;
Xiaolu YANG
;
Yuelan MA
;
Danfeng GU
;
Sannan WANG
- Publication Type:Journal Article
- Keywords:
Positive airway pressure;
Mechanical ventilation;
Preterm infants;
Newborn;
Respiratory failure
- From:
Chinese Pediatric Emergency Medicine
2016;23(4):236-239
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the difference of two models of respiratory failure in preterm infants with nasal continuous positive airway pressure(nCPAP)and nasal biphasic positive airway pressure (nBiPAP).Methods Comparative analysis of 81cases of premature infants with respiratory failure requi-ring respiratory support was needed.They were applied nCPAP and nBiPAP ventilation mode treatment.The use of breathing machine and total oxygen inhalation time,the number of treatment failures,the PEEP param-eters of the ventilator,the total number of recent complications and secondary infections were compared.Re-sults In the nBiPAP treatment group,the average time of noninvasive ventilation was(96.34±31.5)h,the total time of oxygen inhalation was(10.11 ±9.39)d,3cases of treatment failure,the incidence of severe complications was 5.56%(2/36),PEEP (4.08±0.73)cmH2O (1cmH2O =0.098kPa ).In the nCPAP group,the average time of noninvasive ventilation was(114.14±41.69)h,the total time of oxygen inhalation was(17.53±15.96)d,15cases were failed,the incidence of severe complications was 15.56%(7/45), PEEP(5.11±1.01)cmH2O.There were significant differences between the two groups(P﹤0.05).But there were no significant differences in infection control and patent ductus arteriosus (P ﹥0.05).Conclusion nBiPAP as one of the first choice treatment for premature infants with respiratory failure significantly better than nCPAP,as soon as the proper use can avoid invasive ventilation.
