盐酸氨溴索联合CPAP机对新生儿呼吸窘迫综合征的临床疗效观察被引量：12

在线阅读下载PDF

导出

摘要目的:探讨盐酸氨溴索联合鼻持续气道正压通气(CPAP)对新生儿呼吸窘迫综合征的临床疗效,为该病的临床诊治提供参考依据。方法:对我院新生儿科收治的60例呼吸窘迫综合征患儿进行随机分组,治疗组和对照组各30例,对照组采用盐酸氨溴索联合吸氧进行治疗,治疗组采用盐酸氨溴索联合CPAP机治疗,分析比较两组患儿治疗效果。结果:两组患者治疗后,血气分析与临床症状均得到明显改善,治疗组总有效率达到90.0%,明显高于对照组66.7%(P<0.05)。结论:在新生儿呼吸窘迫综合征临床治疗上,盐酸氨溴索联合CPAP机的疗效优于盐酸氨溴索联合吸氧的疗效,值得临床推广使用。

作者黄美珍

机构地区江西省信丰县人民医院新生儿科

出处《赣南医学院学报》 2014年第1期109-110,共2页 JOURNAL OF GANNAN MEDICAL UNIVERSITY

关键词盐酸氨溴索 CPAP 新生儿呼吸窘迫综合征

分类号 R563.8 [医药卫生—呼吸系统]

引文网络
相关文献

参考文献4

1周启新,陆长东.CPAP在新生儿呼吸疾病中的应用价值[J].医学综述,2009,15(5):722-724. 被引量：13
2吴新萍,陈学珍,徐亚萍,徐苏东.沐舒坦联合N-CPAP在早产儿RDS中的临床应用[J].中国妇幼保健,2006,21(20):2872-2873. 被引量：6
3陈克正.新生儿呼吸窘迫综合征[J].小儿急救医学,2000,7(3):158-159. 被引量：19
4周小光,肖昕,农绍汉,等.新生儿机械通气治疗学[M].北京:人民卫生出版社,2004:82-334.

二级参考文献23

1金汉珍.实用新生儿学（第2版）[M].北京:人民卫生出版社,1999.73.
2Gregory GA, Kitterman JA, Phibbs RH, et al. Treatment of the idiopathic respiratory-distress syndrome with continuous positive airway pressure [ J ]. N Engl J Med, 1971,284 (24) : 1333-1340.
3Verder H. Nasal CPAP has become an indispensable part of the primary treatment of newborns with respiratory distress syndrome [J]. Acta Paediatr,2007,96(4) :482484.
4Eigellab A, Riou Y, Abbazine A. Effects of nasal continuous positive airway pressure(NCPAP) on breathing pattern in spontaneously breathing premature newborn infants [ J ]. Intensive Care Med, 2001,27 ( 11 ) : 1782-1787.
5Stefanescu BM, Murphy WP, Hansell BJ, et al. A randomized, controlled trial comparing two different continuous positive airway pressure systems for the successful extubation of extremely low birth weight infants [ J ]. Pediatrics,2003,112 (5) : 1031-1038.
6Buettiker V, Hug MI, Baenziger O. Advantages and disadvantages of different nasal CPAP systems in newborns [ J ]. Intensive Care Med,2004,30 ( 5 ) :926 -930.
7Moa G, Nilsson K, Zetterstrom H, et al. A new device for administration of nasal continuous positive airway pressure in the newborn: an experimental study [ J ]. Crit Care Med, 1988, 16 ( 12 ) : 1238-1242.
8Kamper J,Wulff K,Larsen C,et al. Early treatment with nasal continuous positive airway pressure in very low-birth-weight infants [J]. Acta Paediatr,1993,82(2) :193-197.
9So BH, Tamura M, Mishina J,et al. Application of nasal continuous positive airway pressure to early extubation in very low birthweight infants [ J ]. Arch Dis Child Fetal Neonatal Ed, 1995,72 ( 3 ) : F191 - F193.
10Jeena P, Pillay P, Adhikari M. Nasal CPAP in newborns with acute respiratory failure[ J]. Ann Trop Paediatr,2002,22(3 ) :201-207.