护理干预对支气管肺炎患儿疗效及肺功能的影响  

Curative effect of nursing intervention in the treatment of children with bronchial pneumonia and its effects on pulmonary function

作　　者：吴雪梅[1] 吴居逸 胡琼芳[1] 郑晓丹 

机构地区：[1]温州医科大学附属第二医院育英儿童医院儿童呼吸科,浙江省温州325027

出　　处：《中国基层医药》2017年第23期3533-3536,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省温岭市科技计划项目（2013C31104）

摘　　要：目的 观察护理干预对支气管肺炎患儿临床疗效及肺功能的影响.方法 选取支气管肺炎患儿100例为研究对象,采用随机数字表法分为对照组50例、观察组50例,对照组采用常规护理,观察组采用优质护理,观察两组患儿治疗后肺功能指标（FVC、FEV1、PEF）、不良反应及临床疗效.结果 治疗后,观察组FVC、FEV1、PEF分别为（3.96±0.80）L、（3.15±0.80）L、（6.32±2.01） L/s,均优于对照组的（2.85 ±0.91）L、（2.43±0.63）L、（4.90±1.35）L/s（t =6.478,P=0.000;t=5.000,P=0.000;t =4.147,P=0.000）;观察组不良反应发生率为14.00％ （7/50）,低于对照组的38.00％ （19/50）（x^2=7.484,P=0.006）;观察组总有效率98.00％ （49/50）,优于对照组的80.00％ （40/50）（x^2=8.274,P=0.004）.结论 给予支气管肺炎患儿对症治疗的同时,采取优质护理干预能够有效地改善患儿的肺功能,减少并发症的发生,有利于患儿的预后,提高治疗疗效.Objective To observe the curative effect of nursing intervention in the treatment of children with bronchial pneumonia and its effects on pulmonary function.Methods 100 children with bronchial pneumonia were selected as the research subjects,they were randomly divided into control group （50 cases） and observation group （50 cases） according to the digital table.The control group received routine nursing,the observation group received high quality nursing.The pulmonary function indicators （FVC,FEV1,PEF）,the adverse reactions and the clinical curative effect were observed in the two groups after treatment.Results After treatment,the FVC,FEV1,PEF of the observation group were （3.96 ± 0.80） L,（3.15 ± 0.80） L,（6.32 ± 2.01） L/s,respectively,which were better than those of the control group [（2.85 ±0.91）L,（2.43 ±0.63）L,（4.90 ± 1.35）L/s] （t =6.478,P=0.000;t =5.000,P =0.000;t =4.147,P =0.000）.The incidence rate of adverse reactions of the observation group was 14.00% （7/50）,which was lower than 38.00% （19/50） of the control group （x^2 =7.484,P =0.006）.The total effective rate of the observation group was 98.00% （49/50）,which was higher than 80.00% （40/50） of the control group （x^2 =8.274,P =0.004）.Conclusion To give children symptomatic treatment of infantile bronchial pneumonia at the same time,take the high quality nursing intervention can effectively improve lung function in children,reduce the incidence of complications,it is conducive to prognosis and can improve the therapeutic efficacy.

关 键 词：支气管肺炎 儿科护理学 干预性研究 呼吸功能试验 

分 类 号：R473.72[医药卫生—护理学]