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目的:比较简易鼻塞式持续气道正压通气(CPAP)与鼻塞式CPAP呼吸机在小儿肺炎并呼吸衰竭中的治疗效果。方法:75例小儿肺炎并呼吸衰竭患儿随机应用简易鼻塞式CPAP及鼻塞式CPAP呼吸机治疗,比较两组治疗效果。结果:39例应用简易鼻塞式CPAP治疗成功27例,有效率69.2%;36例应用鼻塞式CPAP呼吸机治疗成功27例,有效率75.0%,两组治疗效果差异无统计学意义(P>0.05)。结论:简易鼻塞式CPAP提高肺通气功能及换气功能,疗效等同与鼻塞式CPAP呼吸机。在小儿肺炎并轻中度呼吸衰竭、尤其是低氧性呼吸衰竭的治疗中有较好疗效,值得推广。
Objective: To compare the curative effect of simple nasal continuous positive airway pressure (CPAP) and nasal CPAP ventilator in children with pneumonia and respiratory failure. Methods: Seventy-five children with pneumonia and respiratory failure were randomly divided into simple nasal CPAP and nasal CPAP ventilator. The therapeutic effect was compared between the two groups. Results: Twenty-nine patients were successfully treated with simple nasal CPAP and the effective rate was 69.2%. Twenty-seven patients were successfully treated with nasal CPAP ventilator, with an effective rate of 75.0%. There was no significant difference between the two groups (P> 0.05 ). Conclusions: Simple nasal CPAP improves pulmonary ventilation and ventilatory function, with the same efficacy and nasal CPAP ventilator. In children with pneumonia and mild to moderate respiratory failure, especially in the treatment of hypoxic respiratory failure has a good effect, it is worth promoting.