The effect of high-frequency oscillatory ventilator combined with pulmonary surfactant in the treatment of neonatal respiratory distress syndrome
To investigate the efficacy of high-frequency oscillatory ventilation (HFOV) combined with pulmonary surfactant (PS) in the treatment of neonatal respiratory distress syndrome (NRDS). This study is a retrospective clinical study. Seventy-two NRDS neonates were selected as the subjects from November...
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| Published in | Medicine (Baltimore) Vol. 101; no. 32; p. e29940 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
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United States
Lippincott Williams & Wilkins
12.08.2022
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| ISSN | 1536-5964 0025-7974 1536-5964 |
| DOI | 10.1097/MD.0000000000029940 |
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| Abstract | To investigate the efficacy of high-frequency oscillatory ventilation (HFOV) combined with pulmonary surfactant (PS) in the treatment of neonatal respiratory distress syndrome (NRDS).
This study is a retrospective clinical study. Seventy-two NRDS neonates were selected as the subjects from November 2019 to November 2020, and divided into observation group (40 cases, HFOV treatment) and control group (32 cases, conventional mechanical ventilation treatment). All cases were treated with PS and comprehensive treatment. The therapeutic effect, arterial partial pressure of oxygen (PaO2), arterial partial pressure of carbon dioxide (PaCO2), Percentage of inhaled oxygen concentration (FiO2), mean arterialpressure, oxygenation index (OI), and complications were compared in the 2 groups.
The total effective rate of the observation group was 90.0%, significantly higher than that of the control group. After treatment, the observation group has higher PaO2 levels and lower levels of PaCO2, mean arterial pressure, FiO2, and OI than the control group. There was no significant difference in the incidence of complications between the 2 groups.
HFOV combined with PS has a significant effect on NRDS, which can improve the arterial blood gas index without increasing the incidence of complications. |
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| AbstractList | To investigate the efficacy of high-frequency oscillatory ventilation (HFOV) combined with pulmonary surfactant (PS) in the treatment of neonatal respiratory distress syndrome (NRDS).
This study is a retrospective clinical study. Seventy-two NRDS neonates were selected as the subjects from November 2019 to November 2020, and divided into observation group (40 cases, HFOV treatment) and control group (32 cases, conventional mechanical ventilation treatment). All cases were treated with PS and comprehensive treatment. The therapeutic effect, arterial partial pressure of oxygen (PaO2), arterial partial pressure of carbon dioxide (PaCO2), Percentage of inhaled oxygen concentration (FiO2), mean arterialpressure, oxygenation index (OI), and complications were compared in the 2 groups.
The total effective rate of the observation group was 90.0%, significantly higher than that of the control group. After treatment, the observation group has higher PaO2 levels and lower levels of PaCO2, mean arterial pressure, FiO2, and OI than the control group. There was no significant difference in the incidence of complications between the 2 groups.
HFOV combined with PS has a significant effect on NRDS, which can improve the arterial blood gas index without increasing the incidence of complications. To investigate the efficacy of high-frequency oscillatory ventilation (HFOV) combined with pulmonary surfactant (PS) in the treatment of neonatal respiratory distress syndrome (NRDS).OBJECTIVETo investigate the efficacy of high-frequency oscillatory ventilation (HFOV) combined with pulmonary surfactant (PS) in the treatment of neonatal respiratory distress syndrome (NRDS).This study is a retrospective clinical study. Seventy-two NRDS neonates were selected as the subjects from November 2019 to November 2020, and divided into observation group (40 cases, HFOV treatment) and control group (32 cases, conventional mechanical ventilation treatment). All cases were treated with PS and comprehensive treatment. The therapeutic effect, arterial partial pressure of oxygen (PaO2), arterial partial pressure of carbon dioxide (PaCO2), Percentage of inhaled oxygen concentration (FiO2), mean arterialpressure, oxygenation index (OI), and complications were compared in the 2 groups.METHODSThis study is a retrospective clinical study. Seventy-two NRDS neonates were selected as the subjects from November 2019 to November 2020, and divided into observation group (40 cases, HFOV treatment) and control group (32 cases, conventional mechanical ventilation treatment). All cases were treated with PS and comprehensive treatment. The therapeutic effect, arterial partial pressure of oxygen (PaO2), arterial partial pressure of carbon dioxide (PaCO2), Percentage of inhaled oxygen concentration (FiO2), mean arterialpressure, oxygenation index (OI), and complications were compared in the 2 groups.The total effective rate of the observation group was 90.0%, significantly higher than that of the control group. After treatment, the observation group has higher PaO2 levels and lower levels of PaCO2, mean arterial pressure, FiO2, and OI than the control group. There was no significant difference in the incidence of complications between the 2 groups.RESULTSThe total effective rate of the observation group was 90.0%, significantly higher than that of the control group. After treatment, the observation group has higher PaO2 levels and lower levels of PaCO2, mean arterial pressure, FiO2, and OI than the control group. There was no significant difference in the incidence of complications between the 2 groups.HFOV combined with PS has a significant effect on NRDS, which can improve the arterial blood gas index without increasing the incidence of complications.CONCLUSIONHFOV combined with PS has a significant effect on NRDS, which can improve the arterial blood gas index without increasing the incidence of complications. |
| Author | Zhu, Ying Zhao, Li-Yan Yin, Jia-Lin Wang, Hai-Jun Wang, Tie-Yan Wu, Li-Yan Xiao, Chun-Wang |
| AuthorAffiliation | Department of Paediatrics, The Second Affiliated Hospital of Qiqihar Medical University, Heilongjiang, China Department of Neonatology, Qiqihar Traditional Chinese Medicine Hospital, Heilongjiang, China Department of Pediatrics, The First Affiliated Hospital of Qiqihar Medical University, Heilongjiang, China Department of Sarcomaand Nano-oncology Group, Adult Cancer Program, Lowy Cancer Research Centre, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia |
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| Author_xml | – sequence: 1 givenname: Tie-Yan surname: Wang fullname: Wang, Tie-Yan organization: Department of Paediatrics, The Second Affiliated Hospital of Qiqihar Medical University, Heilongjiang, China – sequence: 2 givenname: Ying surname: Zhu fullname: Zhu, Ying organization: Department of Paediatrics, The Second Affiliated Hospital of Qiqihar Medical University, Heilongjiang, China – sequence: 3 givenname: Jia-Lin surname: Yin fullname: Yin, Jia-Lin organization: Department of Paediatrics, The Second Affiliated Hospital of Qiqihar Medical University, Heilongjiang, China – sequence: 4 givenname: Li-Yan surname: Zhao fullname: Zhao, Li-Yan organization: Department of Neonatology, Qiqihar Traditional Chinese Medicine Hospital, Heilongjiang, China – sequence: 5 givenname: Hai-Jun surname: Wang fullname: Wang, Hai-Jun organization: Department of Pediatrics, The First Affiliated Hospital of Qiqihar Medical University, Heilongjiang, China – sequence: 6 givenname: Chun-Wang surname: Xiao fullname: Xiao, Chun-Wang organization: Department of Sarcomaand Nano-oncology Group, Adult Cancer Program, Lowy Cancer Research Centre, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia – sequence: 7 givenname: Li-Yan surname: Wu fullname: Wu, Li-Yan organization: Department of Pediatrics, The First Affiliated Hospital of Qiqihar Medical University, Heilongjiang, China |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35960117$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Clinical Trial/Experimental Study High-Frequency Ventilation Humans Infant, Newborn Oxygen - therapeutic use Pulmonary Surfactants - therapeutic use Respiratory Distress Syndrome, Newborn - drug therapy Retrospective Studies Ventilators, Mechanical |
| Title | The effect of high-frequency oscillatory ventilator combined with pulmonary surfactant in the treatment of neonatal respiratory distress syndrome |
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