Objective. To explore the use of the noninvasive high-frequency oscillatory ventilation and CPAP ventilation mode in the treatment of neonatal respiratory distress syndrome and to compare the treatment effect and the incidence of complications and whether it can reduce the time to go to the hospital and the number of hospital stays. Methods. Seventy-four children with RDS treated in hospital were selected and divided into the noninvasive high-frequency group (NHFV group, 36 children) and noninvasive positive pressure ventilation group (NCPAP group, 38 cases), and they were compared with the changes in arterial blood gas, the occurrence of complications, and the time on the machine before and after the operation on 12, 24, 48, and 72 hours. Results. In the NHFV group, PO₂, a/APO₂, and SaO₂ were higher than those in the NCPAP group at 12, 24, 48, and 72 h after the respiratory support was given, and the differences were statistically significant (all ). PaCO₂ in the NHFV group was given respiratory support. After support, the results at 12, 24, 48, and 72 h were lower than those in the NCPAP group, and the difference was statistically significant (both ). The children in both groups were cured and discharged from the hospital, with air leakage, persistent pulmonary hypertension, and bronchopulmonary dysplasia; there were no statistically significant differences in the incidence of complications such as retinopathy, pulmonary hemorrhage, and intracranial hemorrhage (). The NHFV group had less tracheal intubation, operation time, and hospital stays than the NCPAP group. The differences were significant. Statistical significance was at . Conclusion. Noninvasive high-frequency ventilation is effective in the treatment of RDS, and compared with the CPAP ventilation mode, it can reduce CO₂ retention, increase the oxygenation index, and reduce time of operation and length of hospital stay in children with RDS. It is worthy of clinical promotion and application.

中文翻译：

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基于胸部X线重建算法的无创高频冲击通气治疗新生儿呼吸窘迫综合征

目标。探讨无创高频振荡通气和CPAP通气模式在新生儿呼吸窘迫综合征治疗中的应用，比较治疗效果和并发症发生率以及是否可以减少就诊时间和次数住院时间。方法。选取住院治疗的 RDS 患儿 74 例，分为无创高频组（NHFV 组，36 例）和无创正压通气组（NCPAP 组，38 例），比较血气、并发症发生情况、12、24、48、72小时手术前后上机时间。结果。在 NHFV 组中，PO₂、a/APO ₂、SaO ₂在给予呼吸支持后12、24、48、72 h均高于NCPAP组，差异有统计学意义（均）。NHFV 组给予PaCO ₂呼吸支持。支持后12、24、48、72 h结果均低于NCPAP组，差异有统计学意义（均）。两组患儿均治愈出院，均出现漏气、持续性肺动脉高压、支气管肺发育不良；视网膜病变、肺出血、颅内出血等并发症发生率差异无统计学意义。）。NHFV 组的气管插管、手术时间和住院时间均少于 NCPAP 组。差异是显着的。统计显着性为. 结论。无创高频通气治疗RDS有效，与CPAP通气模式相比，可减少RDS患儿的CO ₂潴留，增加氧合指数，减少手术时间和住院时间。值得临床推广应用。