|
|
|
| Effect of transnasal continuous positive airway pressure in the treatment of children with severe pneumonia complicated with respiratory failure |
| LI Fu-qian |
| Department of Pediatrics,Beiliu Maternal and Child Health Hospital in Guangxi Zhuang Autonomous Region,Beiliu 537400,China |
|
|
|
|
Abstract Objective To investigate the effect of transnasal continuous positive airway pressure treatment in the treatment of children with severe pneumonia complicated with respiratory failure.Methods A total of 104 children with severe pneumonia and respiratory failure admitted to the Department of Pediatrics of Beiliu Maternal and Child Health Care Hospital in Guangxi Zhuang Autonomous Region from January 2018 to July 2020 were selected as the research objects,and they were divided into the control groups(52 cases)and the study group(52 cases)according to the random number table method.The study group was given transnasal continuous positive airway pressure treatment,and the control group was given face mask oxygen therapy.The changes of pediatric critical case score(PCIS),heart rate,respiratory rate,the levels of partial pressure of carbon dioxide(PaCO2),partial pressure of blood oxygen(PaO2),and blood oxygen saturation(SaO2)before and after treatment,therapeutic effect and adverse events were compared between the two groups.Results The PCIS scores of the two groups after treatment were higher than those before treatment,the heart rate and respiratory frequency of the two groups after treatment were lower than those before treatment,the differences were statistically significant(P＜0.05).The PCIS score of the study group after treatment was higher than that of the control group,and the heart rate and respiratory frequency of the study group after treatment were lower than those of the control group,the differences were statistically significant(P＜0.05).The levels of PaCO2 after treatment in the two groups were lower than those before treatment,the levels of PaO2 and SaO2 after treatment in the two groups were higher than those before treatment,the differences were statistically significant(P＜0.05).The level of PaCO2 after treatment in the study group was lower than that in the control group,the levels of PaO2 and SaO2 after treatment in the study group were higher than those in the control group,the differences were statistically significant(P＜0.05).The total effective rate of the study group was higher than that of the control group,the difference was statistically significant(P＜0.05).The total incidence of adverse events in the study group was lower than that of the control group,the difference was statistically significant(P＜0.05).Conclusion After transnasal continuous positive airway pressure treatment in the treatment of children with severe pneumonia and respiratory failure,blood gas analysis indicators,lung function are improved,hypoxic symptoms are alleviated in time,respiratory rate and heart rate are effectively recovered,the clinical effect is significant,it is worthy of clinical application
|
|
|
|
|
|
| [1] |
牛世娥，李芳，何娟锋.鼻持续气道正压通气在儿童重症肺炎合并呼吸衰竭治疗中的应用[J].海南医学，2020，（12）：1521-1523.
|
| [2] |
Marik PE.Hydrocortisone，ascorbic acid and thiamine（HAT Therapy）for the treatment of sepsis.Focus on ascorbic acid[J].Nutrients，2018，10（11）：1762-1764.
|
| [3] |
宋文奇，王娜.加温湿化高流量鼻导管通气经鼻持续气道正压通气治疗新生儿重症肺炎的疗效和安全性[J].山西医药杂志，2020，49（5）：73-76.
|
| [4] |
朱海云，王云，韩海玲.个性化护理对行经鼻持续气道正压通气治疗重症肺炎并心衰患儿心脏功能的影响研究[J].贵州医药，2020，44（1）：146-147.
|
| [5] |
王雷.经鼻持续气道正压通气对小儿重症肺炎致呼吸衰竭的疗效观察[J].中国医刊，2016，7（7）：99-102.
|
| [6] |
钟娩玲，黄宇戈.3 种儿童危重评分在重症监护室脓毒症患儿预后评估中的作用[J].中华实用儿科临床杂志，2020，35（6）：426-429.
|
| [7] |
吴春青，刘恩利.经鼻持续气道正压通气治疗小婴儿肺炎并呼吸衰竭对患儿症状、生命体征和血气指标的影响[J].河北医药，2016，38（3）：85-87.
|
| [8] |
Wang L，Fan Y，Xu J，et al.The efficacy and safety of Tanreqing injection combined with western medicine for severe pneumonia：a protocol for systematic review and meta-analysis[J].Medicine，2020，99（35）：e22010-e22012.
|
| [9] |
何南，纪健，钱素云，等.经鼻持续气道正压通气在先天性气道狭窄合并肺炎中的应用：5年单中心回顾性研究[J].中国小儿急救医学，2020，27（8）：614-617.
|
| [10] |
杨仁智.鼻塞式持续气道正压通气对小儿重症肺炎治疗效果与安全性的观察[J].中国急救医学，2018，38（1）：51-52.
|
| [11] |
蒋红侠，王彦波，金宝，等.经鼻持续气道正压通气联合丙种球蛋白对新生儿重症肺炎合并心力衰竭的疗效观察[J].河北医药，2019，41（9）：67-70.
|
| [12] |
Düzova A，Gülhan B，Topalolu R，et al.BK virus associated nephropathy and severe pneumonia in a kidney transplanted adolescent with Schimke immuneosseous-dysplasia[J].Turk J Pediatr，2019，61（1）：111-116.
|
| [13] |
贾系群，张中馥，张楠，等.经鼻持续正压通气优先策略治疗婴幼儿重症肺炎的临床效果观察[J].河北医科大学学报，2019，40（4）：443-446.
|
| [14] |
臧平，卢秀兰，唐亮，等.危重症患儿使用经鼻持续气道正压通气的时机探讨及评估[J].中国小儿急救医学，2018，25（11）：808-812.
|
| [15] |
郑伟华，宋晓丹，欧维琳，等.经鼻持续气道正压通气治疗婴幼儿重症毛细支气管炎的疗效及安全性[J].广西医学，2018，40（9）：1017-1020.
|
|
|
|
