新生儿持续和非侵入性正压通风的结果
Rabia Munir1, Nimra Chohan1, Aiman Ali Brohi1
1Department of Paediatrics and Child Health, The Aga Khan University Hospital, Karachi, Pakistan.
与鼻连续正气压 (NCPAP) 相比,非侵入性鼻间断正压通风 (NIPPV) 显著减少了早产新生儿的输出失败. NIPPV还导致更短的恢复时间,这表明它是首选的输出管后支持方法.
科学领域:
- 新生儿医学 新生儿医学
- 儿科呼吸系统护理 儿童呼吸系统护理
- 关键的护理关键的护理
背景情况:
- 过早出生的新生儿在机械通风后往往需要呼吸支持.
- 输出失败是这个脆弱人群的一个重大问题.
- 非侵入性通风策略对于改善结果至关重要.
研究的目的:
- 为了比较NIPPV与NCPAP在早产新生儿脱口术后的临床结果.
- 评估NIPPV在减少输出失败率方面的有效性.
- 评估对康复时间和住院时间的影响.
主要方法:
- 进行了一项描述性分析性研究,对95名早产新生儿 (怀孕27-36+6周) 进行了分析.
- 新生儿被输管到NCPAP (n=49) 或NIPPV (n=46).
- 结果,包括输出失败,在输出后的第一个星期进行了评估.
主要成果:
- 与NCPAP (55.1%,p <0.001) 相比,NIPPV组显示出明显较低的输出失败率 (8.7%).
- NCPAP独立地与更高的输出失败几率相关 (OR 6.61).
- 接受NCPAP治疗的新生儿需要更长时间的机械通风,非侵入性支持和住院治疗;死亡率相似.
结论:
- 在早产新生儿中,NIPPV显示出输出失败的风险要大大降低.
- 与NCPAP相比,NIPPV与更短的恢复时间有关.
- NIPPV可以被认为是为早产婴儿提供优选的输出管后支持方式.
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