无创辅助呼吸治疗用于重症肺炎所致呼吸衰竭患儿临床抢救价值

目的:探讨无创辅助呼吸治疗用于重症肺炎所致呼吸衰竭患儿的临床抢救价值。方法:选择我院2016年5月至2019年5月间收治的重症肺炎所致的呼吸衰竭患儿80例,按照随机数字表法分为研究组42例和对照组38例,对照组给予常规抗感染、吸氧、止咳、平喘等疗法,研究组在常规治疗的基础上联合使用无创辅助呼吸机进行治疗,对比观察两组的抢救价值。结果:研究组治疗后临床总有效率为92.86%,明显高于对照组76.32%(P0.05);治疗后两组PaO_2、pH值水平均明显升高,PaCO_2、心率和呼吸频率明显降低,研究组改变程度优于对照组(P0.05);治疗后两组MMF、PEF、PImax、PEmax等各项肺功能指标水平均明显升高,研究组升高程度明显优于对照组(P0.05)。结论:无创辅助呼吸治疗重症肺炎所致呼吸衰竭,能够有效提高患儿的临床治疗效果,改善血气分析、心率、呼吸频率等指标的水平,提高患儿肺功能,具有操作简单、安全性高、效果可靠的优点,可在临床范围内推广使用。

The Value of Non-invasive Assisted Respiratory Rherapy for Clinical Rescue of Children with Respiratory Failure Caused by Severe Pneumonia

ABSTRACT Objective: To investigate the clinical rescue value of noninvasive assisted respiratory therapy in children with respiratory failure caused by severe pneumonia. Methods: Eighty children with respiratory failure caused by severe pneumonia admitted from May 2016 to May 2019 in our hospital were enrolled in the study. According to the random number table method, 42 patients in the study group and 38 patients in the control group were compared. The children in the group were given conventional anti-infective, oxygen-absorbing, anti-cough, anti-asthmatic and other treatments. The study group was treated with non-invasive assisted ventilator on the basis of conventional treatment, and the rescue value of the two groups was compared. Results: The total effective rate of the study group was 92.86%, which was significantly higher than that of the control group (76.32%) (P<0.05). After treatment, the PaO₂ and pH levels of the two groups were significantly increased, PaCO₂, heart rate and respiratory rate, the degree of change in the study group was significantly lower than that in the control group (P<0.05). After treatment, the levels of MMF, PEF, PImax, PEmax and other lung function indexes were significantly increased, the degree of elevation in the study group was significantly better than that in the control group (P<0.05). Conclusion: Non-invasive assisted breathing therapy for children with respiratory failure caused by severe pneumonia can effectively improve the clinical treatment effect of children, improve the blood gas analysis, heart rate, respiratory rate and other indicators, improve the lung function of children, and has simple operation and safety. The advantages of high efficiency and reliable performance can be promoted and used in the clinical scope.