全程系统护理联合氧气驱动雾化吸入辅助治疗小儿喘憋性肺炎的临床疗效

孙丹　　刘颖

[摘要] 目的 探讨氧气驱动雾化吸入辅助治疗小儿喘憋性肺炎的全程系统护理措施及其效果。 方法 选取2015年6月～2016年6月我院收治的小儿喘憋性肺炎患儿96例，平均分成两组，对照组患儿应用氧气驱动雾化吸入辅助治疗，研究组患儿在治疗基础上做好全程系统护理。 结果 研究组患儿应用全程系统护理及氧气驱动雾化吸入辅助治疗之后，有效率可达到93.8%，相比对照组的72.9%，研究组治疗效果显著好于对照组患儿（P<0.05）；比较治疗前后两组患儿血气分析指标的变化情况，研究组明显优于对照组（P<0.05）。 結论 小儿喘憋性肺炎患儿在应用氧气驱动雾化吸入辅助治疗基础上，做好全程系统护理干预，能够进一步改善治疗效果。

[关键词] 氧气驱动；雾化吸入治疗；小儿喘憋性肺炎；全程系统护理

[中图分类号] R47 [文献标识码] B [文章编号] 1673-9701（2017）09-0158-03

Clinical effect of whole-system integrated care combined with oxygen-driven aerosol inhalation treatment in children with asthmatic pneumonia

LIU Dan1 LIU ying2

1.Infusion Center， Shenyang Children's Hospital， Shenyang 110032， China； 2.Department of Cardiology，People's Liberation Army No. 463 Hospital，Shenyang 110042， China

[Abstract] Objective To explore the whole-system integrated care measure combined with oxygen-driven aerosol inhalation in treating childrens asthmatic pneumonia and its effect. Methods 96 children with asthmatic pneumonia admitted in our hospital from June 2015 to June 2016 were chosen and averaged into two groups. The children in the control group were treated with oxygen-driven aerosol inhalation therapy. The whole-system integrated care was made on the basis of the treatment in the study group. Results The effective rate of the study group was 93.8% after application of the whole-system integrated care combined with oxygen-driven aerosol inhalation adjuvant therapy，significantly better than that of the control group （72.9%） （P<0.05）. The changes of blood gas analysis indexes were compared between the two groups before and after treatment，and the changes in the study group was better than that in the control group（P<0.05）. Conclusion Whole-system integrated care intervention on the basis of oxygen-driven aerosol inhalation adjuvant therapy in children with asthmatic pneumonia can further improve the therapeutic effect.

[Key words] Oxygen-driven； Aerosol inhalation treatment； Children's asthmatic pneumonia； Whole-system integrated care

小儿喘憋性肺炎发生在患儿的肺部气管，临床表现主要是喘憋、咳嗽、呼吸困难以及缺氧，主要发生在3岁以下的小儿中，是婴幼儿的常见病之一。大部分患儿是感染呼吸道病毒诱发的，少数患儿由流感病毒以及鼻病毒等诱发[1]。患儿在感染病毒之后，毛细支气管出现水肿以及充血问题，黏液分泌显著上升，同时黏膜细胞脱落使得管腔堵塞，导致患儿出现肺气肿以及肺不张问题。在治疗过程当中做好系统护理有重要的价值[2]。我院应用氧气驱动雾化吸入治疗小儿喘憋性肺炎，并为患儿提供全程系统护理，现报道如下。

1 资料与方法

1.1一般资料

选取2015年6月～2016年6月我院收治的小儿喘憋性肺炎患儿96例，男51例，女45例，年龄6个月～4岁，平均年龄（1.5±0.3）岁，所有患儿均经过血、尿以及大便常规诊断，同时结合X线诊断以及心电图功能确诊，符合《实用儿科学》中的诊断标准。……