Application of nasal continuous positive airway pressure in the treatment of neonatal respiratory disease

( views:192, downloads:0 )
Author:
WANG Hui-qin(Department of Newborn Pediatric, the Maternal and Child Health Hospital of Hefei,Hefei ,Anhui 230001, China)
GUO Ben-biao(Department of Newborn Pediatric, the Maternal and Child Health Hospital of Hefei,Hefei ,Anhui 230001, China)
Journal Title:
Chinese Journal of Primary Medicine and Pharmacy
Issue:
Volume 19, Issue 10, 2012
DOI:
10.3760/cma.j.issn.1008-6706.2012.10.002
Key Word:
Nasal continuous positive airway pressure;Respiratory disease;Newborn

Abstract: Objective To observe the effects of nasal continuous positive airway pressure(NCPAP) on neonatal respiratory disease.Methods 67 newborns with respiratory disease undergone the treatment of NCPAP and routine clinic treatment.The changes of blood gas index and therapeutic effects were observed.The changes of blood gas between the pretherapy and post-treatment were compared.Results The numerus of PaO2,SpO2 was increased apparently at 1 hour after treament with NCPAP.The difference was significant ( t =3.84,15.50,all P < 0.05 ).But the PaCO2 had no apparent change and the difference was not significant(t =1.96,P > 0.05 ).54 newborns were treated successfully and 13 newborns were treated unsuccessfully.51 newborns were cured,11 newborns were improved and 1 patient was dead at Last.Conclusion The early application of NCPAP on neonatal respiratory disease was very effective.It could reduce the use of mechanial ventilation,and it was a convenient,safe and effect-prominent method.

  • [1]周启新,陆长东.CPAP在新生儿呼吸疾病中的应用价值.医学综述,2009,15(5):722.
  • [2]邵肖梅,叶鸿瑁,丘小汕.实用新生儿学.4版,北京:人民卫生出版社,2011:433.
  • [3]周伟.实用新生儿治疗技术.北京:人民军医出版社,2010:55-66.
  • [4]宋国维.新生儿呼吸窘迫综合征的诊治.中国实用儿科杂志,2008,23 (6):488-489.
  • [5]Kamlin CO,Davis PG,Morley CJ.Predicting successful extubation of very low birthweight infants.Arch Dis Child Fetal Neonatal Ed,2006,91(3):F180-F183.
  • [6]杜立中.无创通气在新生儿心肺疾病中的应用.中国实用儿科杂志,2007,22(12):888-890.
  • [7]戎群芳,张育才,张国琴,等.经鼻持续气道正压通气在极低出生体质量儿呼吸支持中的应用价值.中国小儿急救医学,2009,16(6):547-549.
WanfangData CO.,Ltd All Rights Reserved
About WanfangData | Contact US
Healthcare Department, Fuxing Road NO.15, Haidian District Beijing, 100038 P.R.China
Tel:+86-010-58882616 Fax:+86-010-58882615 Email:yiyao@wanfangdata.com.cn