Effect of nasal tampon style continuous airway positive pressure ventilation on children with severe pneumonia in plateau area and its effect on blood gas index
DENG Ying
TANG Xia
ZHANG Xueqiong
LIU Qin
Abstract：Objective To investigate the effect of nasal tampon style continuous airway positive pressure ventilation on children with severe pneumonia in plateau area and its effect on blood gas index.Methods Ninety-two cases of children with severe pneumonia in plateau area were selected,which were treated in department of pediatrics of Ganzi Tibetan Autonomous Prefecture People 's Hospital from February 2014 to February 2017,and they were divided into the observation group (46 cases) and control group (46 cases).The patients of two groups were all treated with comprehensive basic treatment after admission.The patients of control group were treated with mask oxygen,while the patients of observation group were treated with nasal tampon style continuous airway positive pressure ventilation.The patients of two groups were all treated for 24 hours in a row.Compare the clinical symptoms remission time,clinical effect,safety and changes of the PaO2,PaCO2,SaO2 levels of two groups before and after treatment for 24 hours.Results The patients of the observation group got a total effective rate of 93.5％,which was significantly better than the 78.3％ of the control group (x2 =4.389;P =0.036);The PaO2,SaO2 levels of the observation group were significantly higher than those of the control group,and the PaCO2 levels of the observation group were significantly lower than those of the control group (t =8.242,t =10.299,t =5.507;P =0.000,P =0.000,P =0.000);The dyspnea time,cyanosis disappearance time,heart rate returned to normal time,lung rales disappear time,sternal sag disappearance time and length of stay of the observation group were significantly lower than those of the control group (t=7.723,t =7.897,t =5.477,t=6.226,t =5.495,t =4.963;P=0.000,P=0.000,P=0.000,P=0.000,P=0.000,P =0.000);There were nasal mucosa slightly congested,itching,wiping pain and other adverse reactions occurred in both two groups,but there were no statistically significant between the two groups (x2 =1.593,0.956,0.209,P ＞ 0.05).Conclusion The clinical effect of nasal tampon style continuous airway positive pressure ventilation in the treatment of children with severe pneumonia in the plateau area is exact.It can improve the child's blood gas index and inflammatory response state,and also has a high safety,which makes it worthy of clinical application.
Keywords：Severe pneumoniaPlateau areaContinuous airway positive pressure ventilationNasal tampon styleBlood gas analysisChildren
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1123-1126 )