摘要
目的探讨T-组合复苏器对早产儿呼吸支持的效果。方法回顾性分析2018年1月至2019年12月丹阳市妇幼保健院儿科收治的早产儿46例作为对照组,2021年6月至2022年12月收治的早产儿42例作为观察组。对照组采用传统的自动充气式复苏气囊进行呼吸支持,观察组采用T-组合复苏器进行呼吸支持。比较两组1、5、10 min Apgar评分,入新生儿重症监护室(NICU)时体温,复苏成功率,气漏率,机械通气率,肺泡表面活性物质(PS)使用率,给氧时间,机械通气时间,住院时间以及住院费用,血气指标以及并发症发生情况。结果两组1、5、10 min Apgar评分比较,差异无统计学意义(P>0.05)。对照组入NICU时体温低于观察组,差异有统计学意义(P<0.05)。观察组复苏成功率为95.24%,高于对照组的76.09%,且气漏率、机械通气率、PS使用率分别为7.14%、14.29%、14.29%,低于对照组的36.96%、47.83%、50.00%,差异有统计学意义(P<0.05)。观察组给氧时间、机械通气时间、住院时间以及住院费用均低于对照组,差异有统计学意义(P<0.05)。治疗后,两组动脉血氧分压(PaO_(2))、血氧饱和度(SaO_(2))以及酸碱度(pH)值比较,差异无统计学意义(P>0.05),但观察组治疗后动脉二氧化碳分压(PaCO_(2))水平低于对照组,差异有统计学意义(P<0.05)。两组各并发症情况比较,差异无统计学意义(P>0.05)。结论T-组合复苏器应用在早产儿呼吸支持中,能够有效降低气漏率、机械通气率以及PS使用率,提高复苏的成功率,同时减少给氧时间、机械通气时间以及住院时间,使其能够尽快康复。
Objective To explore the effect of T-piece resuscitator on respiratory support in premature infants.Methods A retrospective analysis was conducted on 46 premature infants admitted to the Department of Pediatrics of Danyang Maternal and Child Health Care Hospital from January 2018 to December 2019 as the control group,and 42 premature infants admitted from June 2021 to December 2022 as the observation group.Traditional auto-inflated resuscitation airbags were adopted for the control group for respiratory support,while T-piece resuscitators were adopted for the observation group for respiratory support.The 1-minute,5-minute,and 10-minute Apgar scores of the two groups of children,and body temperature at admission to the neonatal intensive care unit(NICU),resuscitation success rate,air leakage rate,mechanical ventilation rate,pulmonary surfactant(PS)usage rate,oxygen supply time,mechanical ventilation time,hospitalization time,hospitalization cost,blood gas indicators before treatment and after 48 hours of treatment and occurrence of complications were compared.Results The 1-minute,5-minute,and 10-minute Apgar scores between the two groups of premature infants were compared,without statistically significant differences(P>0.05).The body temperature at admission to the NICU of the control group was significantly lower than that of the observation group,with statistically significant difference(P<0.05).The resuscitation success rate in the observation group was 95.24%,significantly higher than 76.09% in the control group.The air leakage rate,mechanical ventilation rate,and PS usage rate were 7.14%,14.29%,and 14.29% respectively,which were significantly lower than 36.96%,47.83%,and 50.00% in the control group,with statistically significant differences between the two groups(P<0.05).The observation group showed significantly shorter oxygen supply time,mechanical ventilation time and hospitalization time,and lower hospitalization costs compared to the control group,with statistically significant differences(P<0.05).After
作者
田瑾
TIAN Jin(Department of Pediatrics,Danyang Maternal and Child Health Care Hospital,Jiangsu,Danyang 212300,China)
出处
《中国医药科学》
2024年第1期133-137,共5页
China Medicine And Pharmacy
基金
江苏省丹阳市科技项目[重点研发计划(社会发展)](SSF202107)。
关键词
T-组合复苏器
早产儿
呼吸支持
并发症
T-piece resuscitator
Premature infants
Respiratory support
Complications
