Effect of High-frequency Oscillatory Ventilation-Assisted Pulmonary Surfactant Intervention on Children with Neonatal Respiratory Distress Syndrome

AuthorMingxi Chenen
AuthorHao Wangen
AuthorWenjuan Zhangen
Accessioned Date2026-04-30T01:31:27Z
Issued Date2026-04-29en
AbstractBackground: Neonatal respiratory distress syndrome (NRDS), also known as neonatal lung hyaline membrane disease, predominantly occurs in premature infants and remains a major cause of neonatal morbidity and mortality. Objectives: This study aimed to evaluate the therapeutic efficacy of high-frequency oscillatory ventilation (HFOV) combined with pulmonary surfactant (PS) therapy in neonates with NRDS. Methods: A total of 100 neonates diagnosed with NRDS were retrospectively enrolled from patients admitted to our hospital between March 2022 and February 2024. Patients were divided into an observation group (n = 50; HFOV-assisted PS therapy) and a control group (n = 50; PS therapy alone). Baseline demographic and clinical characteristics were comparable between the 2 groups. Clinical outcomes, blood gas parameters, and complication rates were analyzed. Results: Compared with the control group, the observation group had a significantly lower overall complication rate (P < 0.05). After treatment, the observation group demonstrated increased arterial partial pressure of oxygen (PaO₂) and reduced partial pressure of carbon dioxide (PCO₂) compared with the control group (P < 0.05). In addition, arterial oxygen saturation (SaO₂) was significantly decreased after HFOV-assisted PS therapy compared with the control group (P < 0.05). The durations of mechanical ventilation and total hospital stay were both significantly shorter in the observation group than in the control group (P < 0.05). Conclusions: High-frequency oscillatory ventilation-assisted PS therapy was associated with improved blood gas parameters, shorter durations of mechanical ventilation and hospitalization, and a reduced risk of complications in neonates with NRDS. These findings suggest that HFOV combined with PS represents an effective therapeutic strategy for the clinical management of NRDS.Keywordsen
DOIhttps://doi.org/10.5812/ijpediatr-160903en
URIhttps://repository.brieflands.com/handle/123456789/67087
PublisherBrieflandsen
TitleEffect of High-frequency Oscillatory Ventilation-Assisted Pulmonary Surfactant Intervention on Children with Neonatal Respiratory Distress Syndromeen
TypeResearch Articleen

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