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两种经鼻通气方式早期应用于早产极低出生体质量儿的临床效果比较
Early HHFNC versus nCPAP in very low birth weight preterm infants
【摘要】 目的比较经湿化高流量鼻导管通气(humidified high-flow nasal cannula,HHFNC)与鼻塞式持续气道正压通气(nasal continuous positive airway pressure,nCPAP)早期应用于早产极低出生体质量儿的临床效果。方法采用前瞻性对照研究,对出生后早期使用HHFNC或nCPAP辅助通气的早产极低出生体质量儿进行对照研究,观察其72h内气管插管机械通气率、临床并发症等情况。结果 HHFNC组与对照组比较,72h内气管插管机械通气率、气漏及NEC发生率差异无统计学意义(P>0.05)。结论 HHFNC是另一种适于在早产极低出生体质量儿中早期使用的通气模式,具有与nCPAP同样有效的临床效果。
【Abstract】 【Objective】To investigate the effects of early treatment with humidified high-flow nasal cannula (HHFNC) and nasal continuous positive airway pressure (nCPAP) in very low birth weight preterm infants. 【Methods】The clinical effects of early treatment with HHFNC and nCPAP in the premature very low birth weight infants were compared, the duration times of assisted ventilation and clinical complications in two groups were observed. 【Resluts】A total of 60 infants were enrolled in the study. There were no significant difference in the duration times of mechanical ventilation and the incidence of clinical complications between the two groups. 【Conclusion】Early HHFNC is another alteration for early respiratory support in very low birth weight preterm infants.
【Key words】 humidified high-flow nasal cannula(HHFNC)； nasal continuous positive airway pressure (nCPAP)； preterm infant； very low birth weight； noninvasive ventilation；
- 【文献出处】 中国妇幼卫生杂志 ,Chinese Journal of Women and Children Health , 编辑部邮箱 ,2013年Z1期
- 【分类号】R722
- 【被引频次】1
- 【下载频次】98