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目的观察经鼻持续气道正压(NCPAP)吸氧对重症毛细支气管炎的治疗效果。方法把2004年~2006年收治的重症毛细支气管炎随机分为A组26例、B组36例,A组采用NCPAP治疗,B组采用头罩吸氧,对吸氧期间的平均心率、呼吸率、血氧饱和度低于95%的例数、镇静药使用次数及西地兰使用例数和住院天数进行比较。结果住院天数两组间没有差异,而其它指标均有差异,其中两组在呼吸率和镇静药使用次数方面有显著性差异(P<0.01)。结论NCPAP给氧治疗重症毛细支气管炎能有效缓解病人的缺氧症状,临床疗效优于头罩吸氧法。
Objective To observe the therapeutic effect of nasal continuous positive airway pressure (NCPAP) on severe bronchiolitis. Methods Severe bronchiolitis admitted from 2004 to 2006 were randomly divided into A group (26 cases), B group (36 cases), A group (NCPAP group) and B group , The number of cases of oxygen saturation less than 95%, the number of sedatives used and the number of cedilanid used and the length of hospital stay. Results There were no differences in hospitalization days between the two groups, while other indexes were different. There was significant difference between the two groups in respiration rate and the number of sedatives used (P <0.01). Conclusion NCPAP administration of oxygen to severe bronchiolitis can effectively alleviate the symptoms of hypoxia in patients, and its clinical curative effect is better than that of hood oxygen inhalation.