肺超声辅助振动排痰治疗新生儿肺炎的临床效果

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摘要目的探讨肺超声辅助振动排痰治疗新生儿肺炎的临床效果。方法选取2019年1月—2020年1月佛山市妇幼保健院收治的70 例新生儿肺炎患儿作为研究对象，按照随机数字表法分为研究组（35 例）与对照组（35例），研究组采用肺超声定位辅助振动排痰，对照组采用常规振动排痰。比较两组患儿的治疗效果、血气分析指标、停氧需要时间、咳嗽消失时间、住院时间及并发症发生情况。结果研究组治疗总有效率高于对照组，差异有统计学意义（P＜0.05）。研究组患儿治疗后10、30 min 氧分压高于对照组，二氧化碳分压低于对照组，差异有统计学意义（P＜0.05）。研究组的停氧需要时间、咳嗽消失时间、住院时间均短于对照组，差异有统计学意义（P＜0.05）。两组患儿均未发生颅内出血。结论新生儿肺炎患者采用肺超声辅助振动排痰效果显著，可改善血气指标，且安全性较高。

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关键词 ：肺超声, 振动排痰, 新生儿, 肺炎

Abstract：Objective To investigate the clinical effect of lung ultrasound-assisted vibrating sputum drainage in the treatment of neonatal pneumonia.Methods A total of 70 cases of neonatal pneumonia admitted to Foshan Women and Children Hospital from January 2019 to January 2020 were selected as the research subjects, and divided into study group (35 cases) and control group (35 cases) according to random number table method.The study group was treated with lung ultrasonic localization assisted vibration sputum drainage, the control group was treated with conventional vibration sputum drainage.The treatment effect, blood gas analysis indexes, time to stop oxygen, time to disappear cough,length of hospital stay and incidence of complications were compared between the two groups.Results The total effective rate of the study group was higher than that of the control group, and the difference was statistically significant (P＜0.05).At 10, 30 min after treatment, the oxygen partial pressure in the study group was higher than that in the control group, the carbon dioxide content was lower than that in the control group, the differences were statistically significant(P＜0.05).The time needed to stop oxygen, the time to disappear cough and the length of hospital stay in the study group were all shorter than those in the control group, the differences were statistically significant (P＜0.05).No intracranial hemorrhage occurred in the two groups.Conclusion Lung ultrasound guided chest physiotherapy is safe and effective in the treatment of neonatal pneumonia.

Key words： Lung ultrasound Physiotherapy Neonate Pneumonia

收稿日期: 2020-12-31

引用本文:

陈君；刘开莲；黄朝梅；戴怡蘅. 肺超声辅助振动排痰治疗新生儿肺炎的临床效果[J]. 中国当代医药, 2021, 28(20): 133-135.
CHEN Jun LIU Kai-lian HUANG Chao-mei DAI Yi-heng▲. Clinical effect of lung ultrasonic-assisted vibrating sputum discharge in the treatment of neonatal pneumonia. 中国当代医药, 2021, 28(20): 133-135.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I20/133

[1]	张亚男.新生儿肺炎的病原菌及其耐药性分析[J].临床研究，2017，25（3）：131-132.
[2]	马贞.浅谈新生儿肺炎及其并发症的护理体会[J].世界最新医学信息文摘，2017，17（55）：205-206.
[3]	梁蔼坚，李娜，余兆聪，等.改良“三步排痰”辅助治疗新生儿肺炎的疗效观察[J].赣南医学院学报，2020，40（3）：283-285.
[4]	Lin JL，Van Haren K，Rigdon J，et al.Pneumonia prevention strategies for children with neurologic impairment[J].Pediatrics，2019，144（4）：e20190543
[5]	柯欢，殷苑琴，肖云红，等.转变体位护理对新生儿肺炎患儿的影响[J].护理学杂志，2017，32（21）：43-45.
[6]	Harding JE，Miles FK，Becroft DM，et al.Chest physiotherapy may be associated with brain damage in extremely premature infants[J].J Pediatr，1998，132（3 Pt 1）：440-444.
[7]	Ferreira DV，Ferreira-Junior JB，Soares S R，et al.Chest press exercises with different stability requirements result in similar muscle damage recovery in resistance-trained men[J].J Strength Cond Res，2017，31（1）：71-79.
[8]	宗海峰，郭果，刘敬.肺脏超声对新生儿肺炎诊断价值的Meta 分析[J].中国实用儿科杂志，2019，34（11）：911-916.
[9]	刘从兵，何金朋，马建，等.高频肺部超声在新生儿肺炎诊断中应用价值分析[J].中国超声医学杂志，2019，35（5）：405-408.
[10]	邵肖梅，叶鸿瑁，丘小汕.实用新生儿学[M].北京：人民卫生出版社，2011.
[11]	邱如新，刘敬.肺脏超声：新生儿细菌性肺炎的敏感监测手段[J].中华实用儿科临床杂志，2020，35（23）：1769-1772.
[12]	洛桑丹伦，高原洪，王浩勋，等.肺部超声在成人社区获得性肺炎的应用价值[J].临床肺科杂志，2018，23（7）：1286-1288.
[13]	Raimondi F，Rodriguez FJ，Aversa S，et al.Lung ultrasound for diagnosing pneumothorax in the critically illneonate[J].J Pediatr，2016，175（1）：74-78.
[14]	Rocha G，Soares P，Goncalves A，et al.Respiratory care for the ventilated neonate[J].Can Respir J，2018，18（2）：72-74.
[15]	戴晓梅，张明瑛.新生儿颅内出血的危险因素分析[J].中外医学研究，2019，17（9）：19-20.
[16]	Kara B，Yozbatiran N，Arda MN.Functional results of physiotherapy programme on patients with aneurysmal subarachnoid hemorrhage[J].Turk Neurosurg，2007，17（2）：83-90.