摘要
Abstract
Objective To explore the clinical efficacy of bi-level positive airway pressure (BiPAP) on treating children with severe capillary bronchitis. Methods 97 children with severe capillary bronchitis in our hospital from December 2011 to October 2014 were selected and divided into treatment group(n=48) and conventional group(n=49).Therapies of anti-infection,panting alleviation,atomization suctioning and glucocorticoid were adopted in conventional group;while on the basis of conventional group,BiPAP as an adjuvant therapy was applied in treatment group.The alleviation time of clinical symptoms,clinical efficacy after 3 d treatment,and difference of arterial blood gas between two groups were compared. Results Time of heart rate improving,disappearing of dyspnea,disappearing of pulmonary moist rales in treat-ment group were greatly shorter than that in conventional group,with statistical differences (P<0.05).In treatment group, HR (112.9±13.6/min),pH value (7.32±0.09),PaO2 [(85.6±9.4) mm Hg],PaCO2 [(48.4±6.4) mm Hg],and PaO2/FiO2 [(221.3±16.5) mm Hg] which were all superior to that in conventional group,with statistical differences(P<0.05).Clinical efficacy after 3 d treatment in treatment group was superior to that in conventional group,with statistical difference (P<0.05).The total effective rate in treatment group was 93.75%,higher than that in conventional group accounting for 77.08%,with a statistical difference (P<0.05). Conclusion BiPAP can improve clinical symptoms and signs of severe capillary bronchi-tis in children and rectify blood gas index in order to improve clinical efficacy.关键词
双水平正压通气/小儿重症毛细支气管炎/临床疗效Key words
Bi-level positive airway pressure (BiPAP)/Children with severe capillary bronchitis/Clinical efficacy分类
医药卫生
