標(biāo)準(zhǔn)化鎮(zhèn)靜方案在新生兒無創(chuàng)通氣（NIV）中的應(yīng)用效果及對神經(jīng)發(fā)育結(jié)果的影響

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Effect of Standardized Sedation Protocol on Neonatal noninvasive Ventilation （NIV） and Its Influence on Neurodevelopmental Outcomes

TENG Fan JIANG Jie （TheSecond People'sHospital ofBaiyin， Gansu Province）

Abstract： Objective： To evaluate the efect of standardized sedation protocol on neonatal non-invasive ventilation （NIV）.Methods： A total of 120 newborns treated in the neonatal intensive care unit （NICU）of the Second People's Hospital of Baiyin， Gansu Province from July 20l9 to July 2024 were selected and divided into the control group and the experimental group，with 6O cases ineach group.Thecontrol group received routine nursing and testing，and the experimental group received standardized sedation. Results： 89% of neonates in the experimental group successfully received non-invasive ventilation support， accounting for a relatively high proportion （P<0.05） . The proportion needing to switch to invasive mechanical ventilation ofthe experimental group was lowerthanthat of the control group （P<0.05） The average score of short-term neurodevelopment in the experimental group was higher than thatinthe control group （ （P<0.05） . At follw-up， the neurodevelopmental scores of the experimental group continued to maintain the superiority （204號 （P<0.05） .Conclusion： Standardized sedation protocol can improve the success rate of neonatal noninvasive ventilation， reduce the need to switch to invasive ventilation，and improve the short-term and long-term neurodevelopmental outcomes of newborns.

Keywords： neonatal non-invasive ventilation; standardized sedation protocol; neurodevelopmental outcome; respiratory management

0 引言

新生兒無創(chuàng)通氣（Non-invasiveventilation，NIV）作為一項(xiàng)重要的呼吸支持技術(shù)，在新生兒尤其是早產(chǎn)兒的臨床治療中發(fā)揮著不可或缺的作用。（剩余3148字）