Clinical Observation of Nasal Continuous Positive Airway Pressure Ventilation in the Treatment of Neonatal Respiratory Failure
10.3969/j.issn.1671-332X.2017.05.035
- VernacularTitle:鼻塞式持续气道正压通气治疗新生儿呼吸衰竭临床观察
- Author:
Qiwei WANG
;
Jinhua CHEN
;
Zhilong LIAO
- Keywords:
Neonatal Respiratory Failure;
Conventional Mechanical Ventilation;
Nasal Continuous Positive Pressure Ventilation
- From:
Modern Hospital
2017;17(5):735-736,739
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy of nasal continuous positive airway pressure ventilation and conventional mechanical ventilation in the treatment of neonatal respiratory failure (NICU).Methods 68 cases of neonatal respiratory failure in our hospital from June, 2014 to June, 2016 in neonatal intensive care unit, according to the random number table method were divided into two groups: The observation group involved 34 patients with nasal continuous positive airway pressure, the control group 34 patients with conventional mechanical ventilation treatment.The changes of arterial blood gas analysis, clinical effect and complication were compared between the two groups.Results The PCO2 of the two groups was significantly decreased (P<0.05), and the observation group was higher than the control group (P<0.05).There was no significant difference in PO2 between the two groups (P>0.05).However, pH value was significantly increased, and the observation group was smaller than the control group (P<0.05).The total effective rate was 94.12% in the observation group and 67.65% in the control group (P<0.05).The time of ventilation and incidence of comorbidities in the observation group was significantly shorter than that in the control group (P<0.05).Conclusion Nasal continuous positive airway pressure ventilation for treatment of neonatal respiratory failure can more significantly improve the efficacy than conventional mechanical ventilation, shorten the time on the machine and reduce the relevant complications.So it is worth promoting.
