目标性镇静护理在重症支气管肺炎患儿中的应用效果  

Application of Target Sedation Nursing in Children with Severe Bronchopneumonia

作　　者：陈高玲 CHEN Gao-ling(Department of Pediatric Critical Care Medicine,Zhumadian Central Hospital,Zhumadian,Henan,463000,China)

机构地区：[1]驻马店市中心医院儿童重症医学科,河南驻马店463000

出　　处：《黑龙江医学》2021年第18期2013-2015,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨目标性镇静护理在重症支气管肺炎患儿中的应用效果。方法:回顾性分析2018年1月—2018年12月驻马店市中心医院行常规镇静护理的46例重症支气管肺炎患儿临床资料,将其纳入对照组;将2019年1月—2019年12月驻马店市中心医院采用目标性镇静护理的46例重症支气管肺炎患儿临床资料,纳入观察组。采用Ramsay镇静评分评估两组肺泡灌洗术治疗时不同时点的镇静情况,对比两组干预1周内不良反应发生情况。结果:肺泡灌洗术前(T2)时,两组Ramsay镇静评分均较干预前(T1)时高,并在负压吸出痰液时(T4)逐渐下降,且观察组纤维支气管镜送入气管时(T3)及T4时Ramsay镇静评分均高于对照组,两组比较时点、组间、时点与组间交互,差异有统计学意义(P<0.05);观察组不良反应发生率为4.35%,低于对照组的17.39%,差异有统计学意义(P<0.05)。结论:目标性镇静护理干预可维持重症支气管肺炎患儿肺泡灌洗术治疗期间处于良好的镇静状态,且安全性较高。Objective:To explore the application effect of target sedation nursing in children with severe bronchopneumonia.Methods:The clinical data of 46 children with severe bronchopneumonia who received routine sedation care in the hospital from January 2018 to December 2018 were retrospectively analyzed and included in the control group,the clinical data of 46 children with severe bronchopneumonia who received targeted sedation nursing in the hospital from January 2019 to December 2019 were included in the observation group.Ramsay Sedation score was used to evaluate the sedation of two groups at different time points during alveolar lavage treatment,the incidence of adverse reactions within 1 week of intervention was compared between the two groups.Results:Before alveolar lavage(T2),the Ramsay Sedation scores of both groups were higher than those before intervention(T1)and decreased gradually at the time of sputum suction(T4),and the Ramsay Sedation scores at the time of fiberoptic bronchos-copy into trachea(T3)and T4 in the observation group were higher than those in the control group.There were statistically signifi-cant differences in the time points,groups,interaction of time points and groups between the two groups(P<0.05).The incidence of adverse reactions in the observation group was 4.35%,which was lower than 17.39%of the control group,with statistically significant difference(P<0.05).Conclusion:Targeted sedation nursing intervention can maintain children with severe bronchopneumonia in a good sedation state during the treatment of alveolar lavage,and has higher safety.

关 键 词：重症支气管肺炎 目标性镇静护理 肺泡灌洗术 镇静 不良反应 

分 类 号：R473[医药卫生—护理学]