小儿胸部物理治疗在机械通气重症肺炎患儿中的应用效果  

Application effect of chest physiotherapy in children with mechanical ventilation

作　　者：龙琳[1] 陈珺[1] 赖琳芬 林华[1] 欧阳燕[1] 曾新华[1] 罗开源[1] 任素琴 LONG lin;CHEN Jun;LAI Lin-fen;LIN Hua;OUYANG Yan;ZEN Xin-hua;LUO Kai-yuan;REN Su-qin(Department of Pediatrics,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou341000,China;PICU,Shanghai Children′s Medical Center,Shanghai200127,China)

机构地区：[1]赣南医学院第一附属医院儿童医学中心,江西赣州341000 [2]上海儿童医学中心PICU,上海200127

出　　处：《中国当代医药》2020年第31期119-121,共3页China Modern Medicine

基　　金：江西省赣州市科技计划项目(GZ2014ZSF029)。

摘　　要：目的探讨小儿胸部物理治疗在机械通气患儿中的应用效果。方法选取2014年6月~2017年12月赣南医学院第一附属医院收治56例重症肺炎并气管插管呼吸机辅助治疗患儿,随机分为观察组与对照组,每组各28例。对照组采用抗感染、化痰等常规治疗方式;观察组在常规治疗的基础上采用胸部物理治疗,严格按照胸部物理治疗方法进行呼吸道管理。观察两组的血酸碱度(pH)、动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)及胸部X线片改善情况、肺部听诊情况、末端静脉血氧饱和度、呼吸频率及住院时间等呼吸道管理指标,比较两组不同的治疗方式对患儿的治疗效果。结果观察组的动脉血气分析pH、PaO2均高于对照组,差异有统计学意义(P<0.05)。观察组的动脉血气分析PaCO2低于对照组,差异有统计学意义(P<0.05)。两组治疗后,观察组的胸部X片好转所需时间、肺部听诊改善所需时间、末端血氧饱和度改善所需时间、呼吸频率改善所需时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。结论对使用机械通气的患儿采用胸部物理治疗,可更好地改善患儿血气结果及各项呼吸道管理指标,使患儿早日康复,临床应用效果良好,值得推广。Objective To explore the application effect of chest physiotherapy in children patients with mechanical ventilation.Methods Fifty-six children patients with severe pneumonia and endotracheal intubation admitted to the First Affiliated Hospital of Gannan Medical University from June 2014 to December 2017 were enrolled,and they were randomly divided into observation group(n=28)and control group(n=28).The control group was treated with routine anti-infection and expectorant therapy,while the observation group was treated with respiratory tract management according to chest physiotherapy based on routine treatment.Blood pH,arterial partial pressure oxygen(PaO2),arterial partial pressure of carbon dioxide(PaCO2),chest X-ray improvements,auscultation of lung,oxygen saturation of terminal vein,respiratory rate and hospitalization time in both two groups were observed individually,and the effects of different treatments were compared.Results The pH and PaO2 of arterial blood gas analysis in the observation group were higher than those of control group(P<0.05).PaCO2 in the observation group was lower than that in control group(P<0.05).After treatment,the time for improvement of chest X-ray,auscultation,oxygen saturation,respiratory rate and hospitalization time in the observation group were shorter than those in the control group(P<0.05).Conclusion Compared with routine anti infection and expectorant therapy,chest physiotherapy can improve the blood gas results and various respiratory indexes of children,and can promote the recovery of patients.The chest physiotherapy has a good clinical effect and it is worth spreading.

关 键 词：胸部物理治疗 机械通气 小儿 应用效果 

分 类 号：R473.72[医药卫生—护理学]