[1]王永明,马利勇,马 丽,等.INSURE技术后行有创机械通气治疗呼吸评分≥8分早产儿RDS的疗效[J].医学信息,2022,35(19):106-108.[doi:10.3969/j.issn.1006-1959.2022.19.029]
　WANG Yong-ming,MA Li-yong,MA Li,et al.The Efficacy of Invasive Mechanical Ventilation After INSURE Technique in the Treatment of RDS in Premature Infants with Respiratory Score ≥8 Scores[J].Journal of Medical Information,2022,35(19):106-108.[doi:10.3969/j.issn.1006-1959.2022.19.029]
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INSURE技术后行有创机械通气治疗呼吸评分≥8分早产儿RDS的疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年19期
页码:
106-108
栏目:
临床研究
出版日期:
2022-10-01

文章信息/Info

Title:
The Efficacy of Invasive Mechanical Ventilation After INSURE Technique in the Treatment of RDS in Premature Infants with Respiratory Score ≥8 Scores
文章编号:
1006-1959（2022）19-0106-03
作者:
王永明; 马利勇; 马 丽; 等
（银川市妇幼保健院新生儿科，宁夏 银川 750001）
Author(s):
WANG Yong-ming; MA Li-yong; MA Li; et al.
(Department of Neonatology,Yinchuan Maternal and Children Healthcare Hospital,Yinchuan 750001,Ningxia,China)
关键词:
呼吸窘迫综合征; 早产儿; INSURE技术; 机械通气
Keywords:
Respiratory distress syndrome; Premature infant; INSURE technique; Mechanical ventilation
分类号:
R722.6
DOI:
10.3969/j.issn.1006-1959.2022.19.029
文献标志码:
A
摘要:
目的 观察INSURE技术后行有创机械通气治疗呼吸评分≥8分早产儿RDS的疗效。方法 选取2020年7月-2021年6月我院收治的51例早产儿RDS作为研究对象，按照随机数字表法分为观察组（25例）和对照组（26例）。对照组使用INSURE技术治疗，观察组使用INSURE技术治疗后行有创呼吸机辅助通气治疗，比较两组有创通气时间和撤机后使用CPAP时间、血气指标及氧合指标（PaCO2、PaO2/FiO2、PAO2-PaO2）及并发症发生情况。结果 观察组有创通气时间、撤机后使用CPAP时间短于对照组（P＜0.05）；干预前、干预后1 h，两组PaCO2、PaO2/FiO2，PAO2-PaO2比较，差异均无统计学意义（P＞0.05）；干预后6、24 h，观察组PaCO2、PaO2/FiO2、PAO2-PaO2优于对照组（P＜0.05）；观察组BPD发生率低于对照组（P＜0.05）；两组IVH≥Ⅱ级、ROP≥Ⅱ级发生率比较，差异无统计学意义（P＞0.05）。结论 对呼吸评分≥8分的早产儿RDS应用INUSURE技术后行有创机械通气治疗效果优于直接使用INSURE技术，能够减少无创通气的时间，改善氧合指标，降低支气管肺发育不良的发生率。
Abstract:
Objective To observe the efficacy of invasive mechanical ventilation after INUSURE technique in the treatment of RDS in premature infants with respiratory score≥8 scores.Methods A total of 51 premature infants with RDS admitted to our hospital from July 2020 to June 2021 were selected as the research objects and divided into observation group (25 cases) and control group (26 cases) according to the random number table method. The control group was treated with INSURE technique, and the observation group was treated with invasive ventilator assisted ventilation after INSURE technique. The invasive ventilation time, CPAP time after weaning, blood gas index and oxygenation index (PaCO2, PaO2/FiO2, PAO2-PaO2) and complications were compared between the two groups.Results The invasive ventilation time and CPAP time after weaning in the observation group were shorter than those in the control group(P<0.05). Before and 1 h after intervention, there were no significant differences in PaCO2, PaO2/FiO2 and PAO2-PaO2 between the two groups (P>0.05). At 6 and 24 h after intervention, PaCO2, PaO2/FiO2 and PAO2-PaO2 in the observation group were better than those in the control group(P<0.05). The incidence of BPD in the observation group was lower than that in the control group(P<0.05). There was no significant difference in the incidence of IVH≥grade Ⅱ and ROP≥grade Ⅱ between the two groups (P>0.05).Conclusion The effect of invasive mechanical ventilation after application of INSURE technique in premature infants with RDS with respiratory score≥8 scores is better than that of direct use of INSURE technique, which can reduce the time of non-invasive ventilation, improve oxygenation index and reduce the incidence of bronchopulmonary dysplasia.

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更新日期/Last Update: 1900-01-01