综合气道护理对重症肺炎患儿治疗及呼吸道感染的影响

发布时间：2018-04-05 01:00

本文选题：综合气道护理　切入点：重症肺炎　出处：《中华医院感染学杂志》2017年22期

【摘要】：目的探讨分析重症肺炎患儿采用综合气道护理后,呼吸道感染的改善情况及临床治疗效果。方法选取2015年3月-2017年3月医院儿科进行治疗的122例重症肺炎患儿作为研究对象,应用随机数字表法分为对照组和试验组,58例对照组患儿应用常规护理干预,64例试验组患儿在常规护理干预基础上,应用综合气道护理,比较两组患儿经不同干预后的临床治疗效果及呼吸道感染的改善情况。结果两组患儿经不同护理干预后,试验组患儿临床总有效率为95.31%比对照组的70.69%明显升高,差异有统计学意义(P0.05);试验组患儿的退热时间、气促缓解时间、咳嗽缓解时间、心衰改善时间、肺部Up音消失时间、住院时间、机械通气时间明显优于对照组患儿,两组比较,差异有统计学意义(P0.05);经不同护理干预后,两组患儿炎性指标水平均有所改善,试验组患儿CRP、IL-6、WBC等炎性指标水平均低于对照组,差异有统计学意义(P0.05);试验组患儿呼吸道感染率为9.38%明显低于对照组患儿的24.14%,差异有统计学意义(P0.05)。结论综合气道护理干预具有显著的临床效果,有效缩短患儿发热、咳嗽、气促等临床症状缓解时间及住院时间、机械通气时间,减轻患者炎性反应,有效降低呼吸道感染率。
[Abstract]:Objective to investigate the improvement of respiratory tract infection and clinical treatment effect after comprehensive airway nursing in children with severe pneumonia.Methods 122 children with severe pneumonia who were treated in pediatrics from March 2015 to March 2017 were selected as study subjects.Fifty-eight children in the control group were divided into control group and experimental group by random digital table method. 64 patients in the test group were treated with routine nursing intervention and comprehensive airway nursing was applied on the basis of routine nursing intervention.The effect of different intervention and the improvement of respiratory tract infection were compared between the two groups.Results after different nursing intervention, the total clinical effective rate of the two groups was 95.31% higher than that of the control group (70.69%), and the difference was statistically significant (P 0.05).The improvement time of heart failure, the time of disappearance of pulmonary up sound, the time of hospitalization and the time of mechanical ventilation were significantly better than those of the control group, the difference was statistically significant (P 0.05), and after different nursing intervention, the levels of inflammatory indexes in the two groups were improved.The levels of inflammatory indexes such as CRP, IL-6 and WBC in the test group were significantly lower than those in the control group (P 0.05), and the respiratory tract infection rate in the test group was 9.38%, which was significantly lower than that in the control group (24.14%), and the difference was statistically significant (P 0.05).Conclusion the comprehensive airway nursing intervention has remarkable clinical effect, effectively shortens the clinical symptom relief time and hospitalization time, mechanical ventilation time, and reduces the inflammatory reaction and respiratory infection rate of children with fever, cough, shortness of breath and so on.
【作者单位】：海南省人民医院秀英儿科PICU;
【分类号】：R473.72

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