High frequency oscillatory ventilation combined with surfactant in treatment of preterm infants with respiratory distress syndrome: report of 100 cases
Wang Li,Zhao Jinning,Hu Zhangxue,Tang Shifang,Ma Juan,Shi Yuan.High frequency oscillatory ventilation combined with surfactant in treatment of preterm infants with respiratory distress syndrome: report of 100 cases[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(19):2034-2036.
Wang Li,Zhao Jinning,Hu Zhangxue,Tang Shifang,Ma Juan,Shi Yuan.High frequency oscillatory ventilation combined with surfactant in treatment of preterm infants with respiratory distress syndrome: report of 100 cases[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(19):2034-2036.DOI:
Objective To determine the therapeutic effects of pulmonary surfactant (PS) combined with high frequency oscillatory ventilation (HFOV) or conventional mechanical ventilation (CMV) in preterm infants with respiratory distress syndrome (RDS). Methods One hundred preterm RDS infants within 12 h after birth admitted in our department from August 2012 to December 2012 were randomly divided into 2 groups
HFOV+PS group (n=48) and CMV+PS group (n=52). Their clinical symptoms and the results of blood gas before and after treatment
mechanical ventilation time
hospitalization time
cure rate and the incidences of complications were compared between the 2 groups. Results In HFOV+PS group
both clinical symptoms and blood gas got better (P0.05)
while
hospitalization time and mechanical ventilation time were obviously shorter than CMV+PS group (P0.05). What’s more
cure rate was significant higher in HFOV+PS group than CMV+PS group (P0.05). But the incidences of complications had no statistically significance between the 2 groups (P0.05). Conclusion HFOV+PS shows remarkable curative effect in treatment of RDS
and it has important significance in reducing premature mortality and improving cure rate at the same time.