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Clinical effect of continuous positive airway pressure non-invasive ventilator in the treatment of severe pneumonia complicated with acute respiratory failure in children |
ZOU Jin-lin WU Zhong-kun XIN Hai-jun |
Department of Pediatrics, Yangchun Maternal and Child Health Hospital, Guangdong Province, Yangchun 529600,China |
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Abstract Objective To evaluate the effect of continuous airway pressure non-invasive ventilator (CPAP) in patients with severe pediatric pneumonia complicated with acute respiratory failure (ARF). Methods Seventy children with severe pediatric pneumonia complicated with ARF admitted to our hospital from October 2013 to August 1919 were selected as research objects. They were divided into the control group (n=35) and treatment group (n=35) according to computer randomization. The control group was treated with nasal cannula oxygenation. The treatment group was treated with continuous positive airway pressure CPAP. The blood gas index, respiratory rate and heart rate, time to symptom relief, and total effective rate were compared between the two groups. Results The arterial partial pressure of oxygen in the treatment group was higher than that in the control group, the partial pressure of arterial blood carbon dioxide was lower than that of the control group (P<0.05). The respiratory rate and heart rate of the treatment group were lower than those of the control group (P<0.05). The symptom relief time of the treatment group was lower than that of the control group, the difference was statistically significant (P<0.05). The total effective rate of the treatment group was higher than that of the control group, the difference was statistically significant (P<0.05). Conclusion In the clinical treatment of severe pediatric pneumonia complicated with ARF, continuous positive airway pressure CPAP has a significant effect on improving blood gas index, respiratory rate and heart rate, shortening symptom relief time and improving clinical efficacy. The clinical application value is high and worth promoting.
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