鼻塞式无创同步间歇指令通气治疗婴幼儿重症肺炎疗效观察
莫坤梅 陈雨彬 何玮 钟英花 黎远团
（佛冈县人民医院，广东 清远，511600）
中图分类号：R256.11 文献标识码：A 文章编号：1674-7860（2016）18-0091-02 证型：IDGB
【摘 要】目的：探讨鼻塞式无创同步间歇指令通气（nSIMV）治疗婴幼儿重症肺炎的疗效。方法：76例婴幼儿重症肺炎分为两组，40例采用nSIMV治疗，另36例采用常规吸氧治疗，观察记录治疗前、后临床症状、生命体征及动脉血气变化。结果婴幼儿重症肺炎患儿采用nSIMV治疗24 h后，心率、呼吸及血气分析指标改善均较常规吸氧疗效明显，差异均有统计学意义（P均＜0.05）；nSIMV治疗总有效率较常规吸氧疗效明显，住院天数较常规吸氧疗效明显缩短，差异均有统计学意义（P均＜0.05）。结论：nSIMV可快速有效地改善婴幼儿重症肺炎的临床症状，缩短病程，值得推广。
【关键词】婴幼儿；肺炎；鼻塞式无创同步间歇指令通气（nSIMV）
【Abstract】Objective: To investigate the efficacy of Nasalsynchronized intermittent mandatory ventilation(nSIMV) treatment in infants andyoung children with severe pneumonia. Methods: A total of 76 infants and youngchildren with severe pneumonia were enrolled and 40 cases were treated by nSIMVand 36 cases were treated with conventional oxygen. The clinicalmanifestations, vital sign and arterial blood gas analysis in the two groupsbefore and after treatments were recorded and compared. Results: After 24 hoursof treatment the heart rate, respiratory rate and arterial blood gas analysiswere greatly improved in cases with nSIMV than in cases with conventionaloxygen (all P<0.05). The totaleffective rate was greatly improved in cases with nSIMV than in cases withconventional oxygen. The hospitalization days were significantly shortened incases with nSIMV than in cases with conventional oxygen, there were significantdifferences in statistics (all P<0.05).Conclusions: For infants and young children with severe pneumonia, nSIMVtreatment can quickly and effectively improve the clinical symptoms, shortenthe course of treatment, so it is worth promoting.
【Keywords】Infants and young child; Pneumonia; Nasal synchronizedintermittent mandatory ventilation(nSIMV)
doi:10.3969/j.issn.1674-7860.2016.18.043
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