持续正压通气治疗小儿重症肺炎的效果观察

李瑞娟，时晓春

（千阳县人民医院，陕西宝鸡，721100）

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摘要：

目的 探究持续正压通气在治疗小儿重症肺炎中的临床效果。方法 选取我院2015年4月至2016年4月收治的93例重症肺炎患儿为研究对象，采用随机数字表法分为观察组(47例)和对照组(46例)，综合治疗起效后，观察组采用持续正压通气进行治疗，对照组采用面罩给氧治疗。对比两组患儿的治疗起效时间、住院时间及治疗前后的血气指标。结果 观察组患儿在治疗起效时间各项指标以及住院时间上均明显优于对照组(P<0.05)。治疗前，两组患儿的PaO2、SaO2和PaCO2比较，无明显差异(P>0.05);治疗后，两组患儿的三项指标均有所改善，且观察组的PaCO2明显低于对照组，而PaO2和SaO2明显高于对照组(P<0.05)。结论 采用持续正压通气的方式对小儿重症肺炎进行治疗，起效快，能够有效改善患儿的血气状况，缩短患儿的康复时间，安全有效，有较高的应用价值。

关键词：持续正压通气；重症肺炎；面罩给氧

中图分类号：R725.6文献标志码：A文章编号：2096-1413(2017)06-0172-02

The effect of continuous positive airway pressure in the treatment of children with severe pneumonia

LI Rui-Juan, SHI Xiao-chun

(Qianyang County People's Hospital, Baoji 721100, China)

ABSTRACT: Objective To explore the effect of continuous positive pressure in the treatment of children with severe pneumonia. Methods Ninety cases of children with severe pneumonia from April 2015 to April 2016 in our hospital were selected as the objects of the study, all the children were randomly divided into the observation group (47 cases) and control group (46 cases), after the onset of comprehensive treatment, the observation group was treated with continuous positive airway pressure, the control group accepted the mask oxygen inhalation. The onset time, hospitalization time, the blood gas index before and after the treatment of the two groups were compared. Results The various indicators of the onset time, hospitalization time and blood gas indexes before and after treatment in the observation group were significantly better than those of the control group (P<0.05). Before the treatment, there was no significant difference between the two group in PaO2,SaO2 and PaCO2 (P>0.05); after the treatment, these three indexes were all improved, the PaCO2 in the observation group were lower than that of the control group, and the SaO2, PaCO2 were higher than those of the control group (P<0.05). Conclusion Continuous positive pressure in the treatment of children with severe pneumonia can effectively improve the blood gas status of children, shorten the recovery time of the children, it is safe and effective, which has higher application value.

KEYWORDS: continuous positive pressure ventilation; severe pneumonia; mask oxygen inhalation

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