ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-04-045 检验与方法 2026, 2(04): 177-180

重症肺炎合并呼吸衰竭患儿急诊急救措施联合早期持续气道正压通气临床疗效

普宁市人民医院

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摘要

目的 探究对重症肺炎合并呼吸衰竭患儿急诊急救措施基础上联合早期持续气道正压通气(CPAP)干预临床效果。方法 选取2023年8月至2025年7月间在普宁市人民医院就诊,符合纳入标准的63例重症肺炎合并呼吸衰竭的患儿,展开回顾性分析。将患儿分为两组,对照组(n=31,展开急诊急救措施治疗),观察组(n=32,接受早期CPAP联合急诊急救措施方案),针对两组患儿血气分析、症状缓解时间及不良事件发生情况等关键数据,进行差异分析,以评估不同急救方案的质量。结果 观察组患儿氧分压、二氧化碳分压等血气分析指标改善幅度显著优于对照组(P<0.05);相较于对照组,观察组患儿症状消失时间显著更短(P<0.05);观察组患儿不良事件发生率相较于对照组显著降低(P<0.05)。结论 CPAP结合急诊急救措施方案在重症肺炎合并呼吸衰竭患儿群体中显示出了较好的治疗效果和一定的安全性。

Abstract

Objective To explore the clinical effect of early continuous positive airway pressure(CPAP) intervention combined with emergency resuscitation measures in children with severe pneumonia complicated by respiratory failure. Methods A retrospective analysis was conducted on 63 children with severe pneumonia complicated with respiratory failure who were treated at Puning People's Hospital from August 2023 to July 2025 and met the inclusion criteria. The children were divided into two groups: the control group(n=31, treated with emergency rescue measures) and the observation group(n=32, treated with early CPAP combined with emergency rescue measures). Key data such as blood gas analysis, symptom relief time, and the occurrence of adverse events were analyzed for differences between the two groups to evaluate the quality of different emergency treatment plans. Results The improvement in blood gas analysis indicators such as partial pressure of oxygen and partial pressure of carbon dioxide in the observation group was significantly better than that in the control group(P<0.05). Compared with the control group, the observation group had a significantly shorter time for symptoms to disappear(P<0.05). The incidence of adverse events in the observation group was significantly lower than that in the control group(P<0.05). Conclusion The CPAP combined with emergency resuscitation measures scheme has shown good therapeutic effects and a certain degree of safety in children with severe pneumonia complicated by respiratory failure.

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[1]江少青,陈佳旋,卢玉云,等.重症肺炎合并呼吸衰竭患儿急诊急救措施联合早期持续气道正压通气临床疗效[J].疾病预防与控制,2026,2(04):177-180.