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肺表面活性物质治疗婴幼儿急性呼吸窘迫综合征的有效性评价

Efficacy of Pulmonary Surfactan in the Treatment of Infants with Acute Respiratory Distress Syndrome

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【作者】 张雁李东陈伟新涂霞姜呢董卫欣李智毅刘希伶

【Author】 ZHANG Yan(Dept.of Pharmacy,Shenzhen Sun Yat-sen Cardiovascular Hospital, Shenzhen 518020, China)LI Dong(Dept. of Clinical Pharmacy Research, The Second Medical College of Jinan University, Shenzhen 518020, China)CHEN Wei-xin,TU Xia,JIANG Ni, DONG Wei-xin,LI Zhi-yi,LIU Xi-ling(ICU, Shenzhen Sun Yat-sen Cardiovascular Hospital, Shenzhen 518020, China)

【机构】 深圳市孙逸仙心血管医院药剂科暨南大学第二临床医学院临床药学研究室深圳市孙逸仙心血管医院ICU深圳市孙逸仙心血管医院ICU 深圳市518020深圳市518020

【摘要】 目的:评价肺表面活性物质(PS)治疗婴幼儿体外循环后急性呼吸窘迫综合征(ARDS)的有效性。方法:选取ARDS的婴幼儿患者20例,随机均分成2组。2组均常规治疗,治疗组加用PS,观察2组临床疗效。结果:治疗组死亡率明显比对照组低(P<0.05),有效率比较差异有统计学意义(P<0.05)。治疗组肺动态顺应性和氧合指数明显改善(P<0.05),机械通气时间和ICU住院时间明显缩短(P<0.05)。结论:PS可有效治疗体外循环后ARDS。

【Abstract】 OBJECTIVE:To evaluate the efficacy of pulmonary surfactan (PS) in the treatment of acute respiratory distress syndrome (ARDS) in infants after undergoing cardio-pulmonary bypass. METHODS: Twenty ADRS infants were randomly assigned to receive routine therapy alone (control group) or routine therapy in combination with PS (trial group). The clinical efficacy in two groups was monitored. RESULTS: In the trial group compared with the control group, the mortality rate was significantly lower(P<0.05), the pulmonary dynamic compliance and oxygenation index improved more significantly(P< 0.05),and the average mechanical ventilative supporting time and the length of stay in ICU were significantly shorter(P< 0.05).CONCLUSION: Pulmonary surfactant is effective for ARDS infants after undergoing cardio-pulmonary bypass.

【基金】 深圳市科技计划(医疗卫生类)项目(200703208)
  • 【分类号】R725.6
  • 【被引频次】7
  • 【下载频次】36
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