Abstract
The article presents the results of a comparative analysis of various methods of respiratory therapy for the treatment of respiratory distress syndrome in premature infants with very low body weight at birth. The studies were conducted in the Republican perinatal center of the Ministry of health of the Republic of Uzbekistan. The study included newborns with very low body weight (1000-1500 g) and with a gestation age of 29-31 weeks, with respiratory distress syndrome at birth. Two groups of newborns were compared. Children of the 1st group have been treated by early, stage delivery room use of CPAP technique; premature infants of the 2nd group were born prior to the application of this technique. In a compative study of the cohorts of newborns treated in the department for two time periods, characterized by different approaches to respiratory therapy, results have been obtained indicating that the majority of premature infants with very low body weight and respiratory distress can be successfully treated with nasal CPAP, without the use of mechanical ventilation, especially in its early use.
Highlights
Представлены результаты сравнительного анализа различных методик респираторной терапии для лечения синдрома дыхательных расстройств у недоношенных с очень низкой массой тела при роджении
The article presents the results of a comparative analysis of various methods of respiratory therapy for the treatment of respiratory distress syndrome in premature infants with very low body weight at birth
Children of the 1st group have been treated by early, stage delivery room use of CPAP technique; premature infants of the 2nd group were born prior to the application of this technique
Summary
В большинстве работ речь идет о снижении частоты механической вентиляции и длительности кислородной зависимости [2, 5,6,7,8]. В большинствее неонатальных отделений в Европе используются устройства с вариабельным потоком, хотя преимущества этого метода по сравнению с пузырьковым CPAP не доказаны в рандомизированных клинических исследованиях. В Республиканском перинатальном центре Минздрава Республики Узбекистан начато применение назального CPAP как основного метода респираторной терапии у новорожденных с очень низкой массой тела, начиная с первых минут после рождения по стандартной методике [9]. Для создания CPAP в родильном зале применяется СРАР System ADNEDA с клапаном Бенвенисте. Необходимость оценки влияния нового метода респираторной терапии на течение и исходы респираторных заболеваний явилась основанием для проведенного нами исследования. Цель и исследования: оценка эффективности ранней респираторной поддержки методом СРАР у новорожденных с очень низкой массой тела при рождении
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