【摘要】 目的 观察经口/鼻面罩持续气道正压呼吸(CPAP)治疗新生儿呼吸衰竭的疗效。 方法 64例新生儿呼吸衰竭患儿采用CPAP-Ⅰ型氧疗器+常规临床治疗，比较入院时和治疗1h后临床情况(神志、呼吸频率、心率)和动脉血气(pH、PaO 2 、PaCO 2 、SaO 2 )。 结果 经CPAP治疗1h后PaO 2 明显升高(P<0.01)，临床观察指标亦明显好转，PaCO 2 无明显降低(P>0.05)。 结论 经口/鼻面罩CPAP对新生儿呼吸衰竭具有良好的治疗作用。

    关键词 持续气道正压呼吸 新生儿呼吸衰竭 治疗

    Treatment of respiratory failure in neonates through continuous positive airway pressure respiratory via nasal/mouth mask

    Zhao Hongli，Qin Libo

    Department of Pediatrics，Daqing Oil Field General Hospital，Heilongjiang163001.

    【Abstract】 Objective To evaluate the clinical effect by using continuous positive airway pressure respiratory via nasal/mouth mask in neonates with respiratory failure.Methods 64neonates with respiratory failure were submitted to standard therapy(consisting of medical，oxygen and physical therapy)plus CPAP.Clinical manifestation(including respi-ratory rate，heart rate and conscious status)and arterial blood gas analysis before and after1hour of treatment by CPAP were compared.Results After1hour of treatment by CPAP ......