摘要
目的针对小儿呼吸衰竭患者实施呼吸道持续正压给氧治疗干预,研究其治疗效果以及应用价值分析。方法选取2022年7—2023年7月甘肃省金昌市中心医院收治的50例小儿呼吸衰竭患者为研究对象,采用随机数表法分为研究组与参照组,各25例。参照组给予常规治疗以及常规鼻导管吸氧处理,研究组在常规治疗基础上给予呼吸道持续正压给氧治疗,比较两组临床效果、并发症发生率以及三凹征、紫绀、肺部啰音、气促的消失时间。结果研究组临床效果(100.00%)明显高于参照组(72.00%),差异有统计学意义(χ^(2)=8.139,P<0.05)。研究组并发症发生率(8.00%)显著低于参照组(32.00%),差异有统计学意义(χ^(2)=4.152,P<0.05)。研究组三凹征、紫绀、肺部啰音、气促、消失时间分别为(1.02±0.32)、(0.34±0.02)、(4.38±0.21)、(4.84±1.02)h明显短于参照组的(2.31±0.93)、(1.02±0.23)、(6.38±1.29)、(7.27±1.05)h,差异有统计学意义(t=6.558、14.727、7.651、8.299,P<0.05)。结论对小儿呼吸衰竭患者实施呼吸道持续正压给氧治疗干预能够明显提高患儿的临床效果,降低并发症发生率,缩短三凹征、紫绀、肺部啰音、气促、消失时间。
Objective To study the therapeutic effect and application value of continuous positive pressure oxygen therapy for children with respiratory failure.Methods 50 pediatric patients with respiratory failure admitted to Jinchang Central Hospital,Jinchang City,Gansu Province from July 2022 to July 2023 were selected as the study objects,and were divided into study group and reference group by random number table method,with 25 cases in each group.The reference group was given conventional treatment and conventional nasal catheter oxygen treatment,and the study group was given continuous positive pressure oxygen treatment in the respiratory tract on the basis of conventional treatment.The clinical effect,complication rate,triple concave sign,cyanosis,pulmonary rale,shortness of breath disappearance time of the two groups were compared.Results The clinical effect of study group(100.00%)was significantly higher than that of reference group(72.00%),and the difference was statistically significant(χ^(2)=8.139,P<0.05).The complication rate of study group(8.00%)was significantly lower than that of reference group(32.00%),and the difference was statistically significant(χ^(2)=4.152,P<0.05).The three concave signs,cyanosis,pulmonary rale,shortness of breath,and disappearance time of(1.02±0.32)h,(0.34±0.02)h,(4.38±0.21)h,(4.84±1.02)h in the study group were significantly shotter than those in the control group(2.31±0.93)h,(1.02±0.23)h,(6.38±1.29)h,(7.27±1.05)h,the difference was statistically significant(t=6.558,14.727,7.651,8.299,P<0.05).Conclusion Continuous positive airway pressure oxygen therapy intervention in children with respiratory failure can significantly improve the clinical effect of children,reduce the incidence of complications,shortened of three concave signs,cyanosis,pulmonary rales,shortness of breath,disappearance time.
作者
刘娟
王露
李海梅
高文龙
LIU Juan;WANG Lu;LI Haimei;GAO Wenlong(Department of Pediatrics,Jinchang Central Hospital(Jinchuan Group Employee Hospital),Jinchang,Gansu Province,737100 China)
出处
《世界复合医学》
2023年第9期136-138,142,共4页
World Journal of Complex Medicine
关键词
呼吸道持续正压给氧治疗
小儿呼吸衰竭
临床效果
Continuous positive airway pressure oxygen therapy
Respiratory failure in children
Clinical effect
作者简介
刘娟(1985-),女,本科,主治医师,研究方向为儿童呼吸与重症。
