Comparison of effectiveness of nasal intermittent positive pressure ventilation (NIPPV) and nasal continuous positive airway pressure (NCPAP) within the first 24 hours of treatment in preterm infants with respiratory distress syndrome at Vinh Long General hospital, 2025-2026
Main Article Content
Abstract
This matched prospective cohort study was conducted on 76 preterm infants with respiratory distress syndrome (RDS) at Vinh Long General Hospital (05/2025–04/2026) to describe clinical and paraclinical characteristics and to compare treatment outcomes within the first 24 hours after intervention between nasal intermittent positive pressure ventilation (NIPPV) and nasal continuous positive airway pressure (NCPAP). The most common clinical signs were chest retractions (96.1%), grunting (73.7%), and tachypnea (72.4%); respiratory acidosis occurred in 71.6% of cases. At 1 hour, the NIPPV group showed significantly greater improvement in lethargy, chest retractions, and tachypnea (p < 0.05). At 24 hours, the respiratory support failure rate in the NCPAP group was significantly higher than in the NIPPV group (28.9% vs. 5.3%, p = 0.006). Thus, NIPPV appeared to be more effective than NCPAP in providing early symptom improvement and reducing respiratory support failure within the first 24 hours in preterm infants with RDS.
Article Details
Keywords
NIPPV, NCPAP, preterm infants, respiratory distress syndrome (RDS), treatment
References
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