摘要
目的探讨新生儿呼吸评分在早产儿呼吸窘迫综合征(NRDS)治疗方法选择中的价值。方法将2020年1月1日—12月31日佛山市三水区妇幼保健院收治的早产儿随机分成观察组与对照组。观察组根据新生儿呼吸评分选择呼吸支持的策略及是否使用肺表面活性物质;对照组根据“早产儿呼吸窘迫综合征早期防治专家共识”防治NRDS。比较两组患儿间肺表面活性物质使用率、住院时间、平均住院费用及并发症等。结果共纳入符合标准的早产儿208例,其中观察组105例,出现NRDS 40例;对照组103例,出现NRDS 35例;两组患儿NRDS的发生率差异均无统计学意义(均P>0.05);肺表面活性物质的使用率观察组高于对照组,但差异均无统计学意义(均P>0.05);观察组的平均住院天数和平均住院费用较对照组低,但差异无统计学意义(P>0.05)。结论新生儿呼吸评分法操作简单,能客观地评估新生儿呼吸窘迫综合征患儿病情危重程度,有助于指导基层的医生对NRDS患儿呼吸支持的策略与肺表面活性物质的使用,适合在基层临床推广。
Objective e To explore the value of neonatal respiratory score in the selection of treatment methods for neonatal respiratory distress syndrome(NRDS)in preterm infants.Methods The preterm infants admitted to Maternal and Child Health Hospital of Sanshui District,Foshan city from January 1 to December 31 in 2020 were randomly divided into observation group and control group.The observa-tion group selected the strategy of respiratory support and whether to use pulmonary surfactants according to the results of the neonatal respira-tory score;the control group treated neonatal respiratory distress syndrome according to the"Expert Consensus on Early Prevention and Treat-ment of Respiratory Distress Syndrome in Premature Infants".To compare the use rate of pulmonary surfactant,average length of hospital stays,average hospital cost and occurrence of complications between the two groups of children with neonatal respiratory distress syn-drome.Results A total of 208 premature infants who met the criteria were included in the study,among which 105 cases were in the obser-vation group,and 40 cases were diagnosed with neonatal respiratory distress syndrome.In the control group,there were 103 cases,35 ca-ses of neonatal respiratory distress syndrome;There was no statistically significant difference in the incidence of NRDS between the two groups(all P>0.05);The usage rate of pulmonary surfactant in the observation group was higher than that in the control group,but the difference was not statistically significant(all P>0.05);The average length of stay and the average hospitalization cost of the observation group were lower than those of the control group,but the difference was not statistically significant(all P>O.05).Conclusion The neo-natal respiratory score method is simple to operate and can objectively evaluate the severity of NRDS,which is helpful to guide doctors at the grassroots level in the strategies of respiratory support and the use of pulmonary surfactant in NRDS.It is suitable for clinical promotion at the gras
作者
钟向明
郭微
梁敬文
邓智青
唐正贤
张丽娟
ZHONG Xiang-ming;GUO Wei;LIANG Jing-wen;DENG Zhi-qing;TANG Zheng-xian;ZHANG Li-juan(Department of Pediatrics,Maternal and Child Health Hospital of Sanshui District,Foshan,Guangdong 528100,China)
出处
《中国妇幼保健》
CAS
2023年第12期2184-2188,共5页
Maternal and Child Health Care of China
基金
广东省佛山市医学类科技攻关项目(1920001001157)。
关键词
新生儿
呼吸评分
呼吸窘迫综合征
治疗
Neonates
Respiratory score
Respiratory distress syndrome
Treatment
