ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (3): 209-211.doi: 10.3969/j.issn.1674-3865.2017.03.008

• 临床研究 • 上一篇    下一篇

支气管肺发育不良患儿早期应用肺表面活性物质的临床价值分析

王青利,郭少辉,李圆圆   

  1. 453400 河南 新乡,河南宏力医院新生儿科
  • 出版日期:2017-06-25 发布日期:2017-12-08
  • 通讯作者: 郭少辉,E-mail:356617394@qq.com
  • 作者简介:王青利(1989-),女,医学硕士,主治医师。研究方向:新生儿疾病的诊治

Clinical value of  early use of pulmonary surfactant in children with bronchopulmonary dysplasia

WANG Qingli, GUO Shaohui, LI Yuanyuan   

  1. Department of Pediatrics, Hongli Hospital, Xinxiang 453400,China
  • Online:2017-06-25 Published:2017-12-08

摘要:
目的
分析支气管发育不良(BPD)患儿早期应用肺表面活性物质(PS)的临床价值。
方法
2013年3月至2016年5月河南宏力医院新生儿科收治住院的BPD患儿68例,随机分为观察组和对照组各34例。对照组予以常规机械通气、吸氧治疗,观察组加用PS治疗。比较两组吸氧时间、机械通气时间及肺功能。两组均持续治疗2周。
结果
观察组吸氧时间与机械通气时间较对照组均明显缩短,差异有统计学意义(P<0.05);观察组1岁、2岁时肺功能明显优于对照组,差异有统计学意义(P<0.05)。
结论
早期应用PS治疗BPD效果显著,可明显缩短机械通气时间,减轻肺损伤,改善肺功能,值得推广。

关键词: 支气管肺发育不良, 肺表面活性物质, 肺功能, 儿童

Abstract:
Objective
To analyze the clinical value of early use of pulmonary surfactant(PS) in children with bronchopulmonary dysplasia(BPD).
Methods
From March 2013 to May 2016, 68 children with BPD were admitted to the Neonatal Department of Henan Hongli Hospital. They were randomly divided into the observation group and the control group, each with 34 cases. The control group was treated with conventional mechanical ventilation and oxygen inhalation, and the observation group was treated with PS in addition to the conventional treatment. The oxygen intake time, mechanical ventilation time and pulmonary function were compared between the two groups. The treatment lasted for 2 weeks in both groups.
Results
In the observation group, oxygen time and mechanical ventilation time were significantly shorter than the control group, the difference being statistically significant (P<0.05); the lung function at 1 year and 2 years old was significantly better in observation group than the control group, the difference being statistically significant (P<0.05).
Conclusion
The early application of PS in the treatment of BPD is effective, which can shorten the time of mechanical ventilation, reduce lung injury and improve lung function, and is worthy of promotion.

Key words: Bronchopulmonary dysplasia, Pulmonary surfactant, Lung function, Child