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目的 观察新型鼻塞持续气道正压通气(N CPAP)治疗新生儿呼吸窘迫综合征(RDS)的疗效。方法 用新型N CPAP治疗新生儿RDS 31例,成功2 3例,失败8例。2 3例治疗成功患儿其呼吸指标在治疗前后均有显著差异。8例治疗失败患儿改用常频呼吸机(CMV)治疗。结果 2 3例RDS患儿使用N CPAP治疗均治愈,8例RDS患儿改用CMV治疗后,治愈5例,死亡3例。N- CPAP与CMV治疗比较,CMV治疗并发症明显增多。结论 新型N- CPAP治疗新生儿RDS效果良好。其具有氧气调节装置及加温湿化装置,减少了后遗症的发生。但部分重症RDS患儿N- CPAP治疗不奏效,须用CMV治疗。
Objective To observe the efficacy of nasal continuous positive airway pressure (NCPAP) in the treatment of neonatal respiratory distress syndrome (RDS). Methods Thirty-one neonates with RDS were treated with new N CPAP, 23 cases were successful and 8 cases failed. 23 cases of successful treatment of children with respiratory index before and after treatment were significantly different. Eight cases of treatment failure to switch to the use of Frequent Respirator (CMV) treatment. Results 23 cases of RDS were treated with N CPAP, and 8 cases of RDS were cured by CMV. Five cases were cured and 3 cases died. Compared with CMV, the complications of CMV increased obviously. Conclusion The new N-CPAP treatment of neonatal RDS good effect. It has oxygen regulator and heating humidifier, reducing the occurrence of sequelae. However, some patients with severe RDS N-CPAP treatment does not work, to be treated with CMV.