The effect of ambroxol hydrochloride combined with nasal continuous positive airway pressure in the treatment of neonatal respiratory distress syndrome
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摘要: 目的:探讨盐酸氨溴索联合鼻塞式持续气道正压通气(NCPAP)治疗新生儿呼吸窘迫综合征(NRDS)的临床效果。方法:130例NRDS患儿随机分为观察组66例和对照组64例,对照组给予NCPAP等综合治疗,观察组在对照组基础上静脉注射盐酸氨溴索7.5 mg/kg,每6 h 1次,连用7 d。观察2组NCPAP时间、机械通气使用率、机械通气时间、氧疗时间、氧合指数(OI)及住院费用。结果:观察组NCPAP时间、机械通气时间及氧疗时间均明显短于对照组,治疗后24 h、36 h及48 h的OI均高于对照组,住院费用明显低于对照组(P0.01);但2组治疗后12 h的OI、机械通气使用率和病死率差异均无统计学意义(P0.05)。结论:盐酸氨溴索联合NCPAP较单用NCPAP治疗NRDS疗效好、安全。
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关键词:
- 呼吸窘迫综合征 /
- 盐酸氨溴索 /
- 鼻塞式持续气道正压通气 /
- 新生儿
Abstract: Objective: To investigate the clinical effects and safety of ambroxol hydrochloride combined with nasal continuous positive airway pressure(NCPAP) in the treatment of neonatal respiraObjective: Tory distress syndrome (NRDS). Methods: One hundred and thirty neonates with NRDS were randomly divided inObjective: To observation group(66 cases) and cont〗rol group(64 cases). The control group and observation group were treated with NCPAP and NCPAP combined with 7. 5 mg /kg of ambroxol hydrochloride every 6 hours for 7 days by intravenous injection, respectively. The time of NCPAP,mechanical ventilation and oxygen therapy, the use of mechanical ventilation,oxygen index(OI) and hospitalization expense of two groups were observed. Results: The time of NCPAP,mechanical ventilation and oxygen therapy of observation group were significantly shorter than those in the control group, the OI of observation group was significantly higher than that in the control group at 24, 36 and 48 hours after treatment, the hospitalization expense of observation group was significantly less than that in the control group(P < 0. 01). The differences of the OI,use of mechanical ventilation and mortality of two groups were not statistically significant(P > 0. 05). Conclusions: Ambroxol hydrochloride combined with NCPAP for treating NRDS is safer and better than NCPAP therapy -
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[1] 卲肖梅,叶鸿瑁,丘小汕.实用新生儿学[M].4 版.北京: 人民卫生出版社,2011: 395 - 398. [1] [2] 新生儿呼吸疾病研究协作组.国内部分地区新生儿重症监护病房新生儿呼吸窘迫综合征诊治现状及东西部差异调查[J].中华围产医学杂志,2009,12(2) : 121 - 126. [2] [3] 刘云,李丽,梁文英,等.不同种类肺表面活性物质治疗新生儿呼吸窘迫综合征的疗效比较[J].中国当代儿科杂志,2012,14(4) : 253 - 255. [3] [4] Sweet DG,Carnielli V,Greisen G,et al.European consensusguidelines on the management of neonatal respiratory distresssyndrome in preterm infants-2010 update [J].Neonatology,2010,97(4) : 402 - 417.
[4] [5] 曾健生,钱素云.无创通气技术及其适应证[J].中国实用儿科杂志,2007,22(12) : 883 - 885. [5] [6] 杜立中.无创通气在新生儿心肺疾病中的应用[J].中国实用儿科杂志,2007,22(12) : 888 - 890. [6] [7] Yang B,Yao DF,Ohuchi M, et al.Ambroxol suppresses influenzavirusproliferation in the mouse airway by increasing antiviralfactor levels[J].Eur Respir,2002,19(5) : 952 - 958.
[7] [8] 陈红兵,陈继昌,谢小雪,等.盐酸氨溴索呼吸道冲洗对机械通气早产儿呼吸力学的影响[J].实用儿科临床杂志,2008,23(6) : 469 - 471. [8] [9] Ottonello L,Arduino N,Bertolotto M, et al.In vitro inhibition ofhuman neutrophil histotoxicity by ambroxol: evidence for amultistep mechanism[J].Br J Pharmacol,2003,140(4) : 736 -742.
[9] [10] 东建亭.双管鼻塞式持续气道正压通气联合盐酸氨溴索在早产儿肺透明膜病中的应用[J].新乡医学院学报,2007,24(2) : 194 - 196. [10] [11] 任合生,李月彦,郑志新.鼻塞持续气道正压和沐舒坦联合治疗新生儿呼吸窘迫综合征[J].中国新生儿科杂志,2008,23(1) : 45 - 46. [11] [12] 朱银凤.盐酸氨溴索预防新生儿呼吸窘迫综合征40 例临床分析[J].蚌埠医学院学报,2007,32(1) : 77. [12] [13] 梁静玲,曹虹,周锦妍,等.大剂量盐酸氨溴索防治新生儿呼吸窘迫综合征的临床观察[J].昆明医学院学报,2011,32(7) : 120 - 123. [13] [14] 燕苹.鼻塞持续气道正压通气联合盐酸氨溴索治疗新生儿呼吸窘迫综合征[J].儿科药学杂志,2012,18(3) : 7 - 9.
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