临床干预联合雾化吸入治疗毛细支气管炎的疗效  

Effects of clinical intervention combined with inhalation aerosols on the treatment of infant bronchiolitis

作　　者：肖利群[1] 孔彩玲[1] 武华[1] 

机构地区：[1]西安市儿童医院,陕西西安710003

出　　处：《中国妇幼健康研究》2015年第1期134-136,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的观察临床干预联合雾化吸入(异丙托溴铵、沙丁胺醇及布地奈德)治疗小儿毛细支气管炎的临床疗效。方法将西安市儿童医院诊治的150例毛细支气管炎患儿随机分为干预组和对照组,各75例。两组均给予对症支持、雾化吸入治疗,干预组同时给予全面的临床干预,包括医护联合进入临床路径、取得家长积极配合,并给与喂养、叩背、体位指导等。观察两组患儿症状、体征消失时间及住院天数,比较两组疗效。结果干预组患儿总有效率95.89%,对照组86.67%,两组相比有显著差异(x^2=4.647,P<0.05);平均住院时间干预组6.45±1.98天,对照组7.67±2.05天,干预组显著短于对照组(t=3.20,P<0.05)。结论全面的临床干预联合雾化吸入治疗能缓解临床症状,提高疗效,缩短疗程,减轻家长的经济负担。Objective To investigate the therapeutic effects of combining clinical intervention with inhalation aerosols （ipratropium bromide, salbutamol and budesonide） on bronchiolitis in infants. Methods A total of 150 infant patients with bronchiolitis were randomized into intervention group and control group with 75 patients in each group. The patients in the control group were treated with nebulized salbutamol, budesonide and ipratropium bromide, while the patients in the intervention group were treated with clinical intervention additionally, including doctors and nurses entering clinical pathway, parents＇ cooperation, feeding, knocking back and body position guidance. The symptoms, recovery time and hospitalization duration between two groups were compared. Results The intervention group had an overall effective rate of 95.89%, and that of the control group was 86.67%. The difference between them was significant （χ^2 = 4. 647,P 〈 0.05 ）. The hospitalization duration of the intervention group was 6.45 ± 1.98 days, which was significantly shorter than that of the control group （7.67 ± 2.05 days） （t = 3.20, P 〈 0.05 ）. Conclusion Clinical intervention combining inhalation aerosols improves the therapeutic effects on infant bronchiolitis by relieving clinical symptoms, improving effectiveness, reducing treatment course and reducing financial burden of family.

关 键 词：毛细支气管炎 临床干预 雾化吸入 儿童 

分 类 号：R725[医药卫生—儿科]