【摘要】 目的探讨早产儿箱内吸氧的疗效,为早产儿低氧血症寻求较好的给氧方式。方法将低氧血症的早产儿入NICU治疗后,呼吸功能改善,但仍需低流量(1L/min)吸氧的100例早产儿,按入院先后序号,单号为观察组,双号为对照组。观察组50例采用温箱内吸氧,对照组50例采用间歇鼻导管吸氧(1L/min),每天2h。观察两组经皮血氧饱和度(TcSO2)的变化。结果两组早产儿治疗效果比较,差异有统计学意义(χ2=55.479,P<0.01)。根据早产儿管理指南的要求,箱内吸氧更符合早产儿的生长发育需求。结论箱内吸氧无创伤性、舒适、安全,避免了血氧饱和度忽高忽低等现象,对纠正早产儿低氧血症起到积极的作用,有效地降低了并发症的发生,提高了早产儿生存质量。更多还原

【Abstract】 Objective To investigate the clinical effect of Oxygen therapy inside the incubator in preterm infants, to find a better may of Oxygen therapy for hypoxemia in preterm infants. Methods One hundred pretem infants with hypoxemia who still needed Oxygen therapy of low flow rate after the treatment in NICU were randomly divided into contrast group and observation group. Oxygen therapy inside the incubator was given to observation group. Oxygen therapy of nasal catheter at 2 hours intervals was given to contrast group. The arterial Oxygen saturation (TcSO2) of two groups was monitored continuously. Results The difference of effect between two groups was significant (χ2 =55.479, P < 0.001). According to the management of preterm infants guidelines, the Oxygen is more in line with the growth needs of preterm infants. Conclusion Oxygen therapy inside the incubators is very safe, comfortable and noninvasive. It can not only keep SpO2 stable but also prevent and cure the retinopathy of prematurily effectively. On the other hand, It can increase the survival quality of preterm infants.更多还原