极低出生体重儿呼吸病管理体会.doc

文档介绍：极低出生体重儿呼吸病管理体会
作者:张海鸿徐书珍李晓梅王彩霞刘文东李明
【关键词】,极低出生体重儿;呼吸病管理;早期干预;监护措施
【摘要】目的本文总结10年呼吸管理体会,以期提高极低出生体重儿(VLBWI)成活率。方法 1994―2004年两家三级甲等医院280例VLBWI,1999―2004年为A组156例,1994―1998年为B组124例。分析前后5年VLBWI管理措施改进等。结果①280例发生呼吸病168例(600%),A组66例(423%),B组102例(823%),两组有显著性差异(P<005);②A组均入NICU,采取监护及早期干预措施,呼吸病发生率显著下降,与B组对比有显著性差异(P<005);③呼吸病以呼吸暂停最多见,占786%,依次为呼吸困难387%,节律不整345%,周期性呼吸274%,呼吸浅表185%,叹息样呼吸167%,抽泣样呼吸71%;④两组死亡率对比由B组250%下降到A组103%(P<005)。结论入NICU早期药物干预可明显减少和减轻呼吸道合并症,降低死亡率。
【关键词】极低出生体重儿;呼吸病管理;早期干预;监护措施
【Abstract】 Objective This article summarizes salvaging esperiences of late 10 years to guide the respiratory diseases for increase survival We totally got 280 VLBWI from two hospitals from 1994 to group A includes 156 cases from 1998 to group B includes 124 cases from 1993 to we analyze respiratory managing measure
①168 cases of 280 cases (600%) happened respiratory diseases,66 cases of group A(423%),102 cases of group B(823%).There is significant difference between the two groups(P<005).②The infants in group A were all put into NICU,and take intensive care and early intervention,respiratory diseases descend is significant difference between the two groups(P<005).③The respiratory diseases mainly manifest apnea 786%,respiratory distress 387%,irregular respiratory rhythm 345%,periodical respiratory 274%,superficia