论文部分内容阅读
目的:探讨CPAP对小儿重症肺炎的治疗效果。方法:选取2011年6月至2013年5月我院收治的小儿重症肺炎患者78例进行分析,按照治疗方法分成观察组和对照组两组,每组39例,观察组在常规治疗基础上采用CPAP治疗,对照组仅采用常规治疗,观察两组临床疗效、治疗前后血气指标变化级症状消失时间。结果:观察组治疗总有效率明显高于对照组(P<0.05);两组治疗后PaO2有明显提高(P<0.05),PaCO2有明显下降(P<0.05),且观察组改善水平明显优于对照组(P<0.05);观察组呼吸困难缓解时间、发绀消失时间、肺啰音消失时间、住院时间明显少于对照组(P<0.05)。结论:对小儿重症肺炎采用CPAP治疗,能够有效缓解患儿的临床症状,缩短住院时间,改善血气指标,安全有效,值得临床推广。
Objective: To investigate the therapeutic effect of CPAP on pediatric severe pneumonia. Methods: From June 2011 to May 2013, 78 cases of pediatric severe pneumonia treated in our hospital were analyzed. According to the treatment, 78 cases were divided into observation group and control group, 39 cases in each group. The observation group was adopted on the basis of routine treatment CPAP treatment, the control group only conventional treatment, the clinical efficacy of two groups were observed before and after the change of blood gas level symptoms disappear time. Results: The total effective rate in the observation group was significantly higher than that in the control group (P <0.05); PaO2 was significantly increased (P <0.05), PaCO2 was significantly decreased (P <0.05), and the improvement in the observation group was significantly better (P <0.05). The relief time of breathlessness, the disappearance of cyanosis, the disappearance of pulmonary rales and hospital stay in the observation group were significantly less than those in the control group (P <0.05). Conclusion: CPAP treatment of pediatric severe pneumonia can effectively relieve the clinical symptoms, shorten the hospitalization time, improve blood gas index, safe and effective, worthy of clinical promotion.