无缝隙一体化急救模式在哮喘患儿急性发作期病情控制中的应用  

Application of seamless integrated emergency mode in the control of asthma in children with acute attack

作　　者：刘蓉蓉 朱颖 吴梅英 魏可英 LIU Rongrong;ZHU Ying;WU Meiying;WEI Keying(Department of Pediatrics,Bo′ai Hospital of Zhongshan City,Guangdong Province,Zhongshan528400,China)

机构地区：[1]广东省中山市博爱医院儿科,广东中山528400

出　　处：《中国当代医药》2022年第4期171-174,共4页China Modern Medicine

基　　金：广东省中山市医学科研基金项目(2021J235)。

摘　　要：目的探讨在哮喘患儿急性发作期应用无缝隙一体化急救模式对其病情控制的效果。方法选取2020年6月至2021年9月中山市博爱医院收治的60例急性哮喘患儿作为研究对象,按照随机数字表法将其分为研究组(30例)与对照组(30例)。对照组采用常规急救模式,研究组采用无缝隙一体化急救模式。比较两组患儿的呼气峰流量、呼吸频率、脉率、动脉血氧饱和度等客观指标及呼吸通畅、酸碱平衡情况。结果两组干预后的呼气峰流量高于干预前,差异有统计学意义(P<0.05);研究组干预后的呼气峰流量高于对照组,差异有统计学意义(P<0.05);研究组干预后的血氧饱和度高于干预前,呼吸频率低于干预前,差异有统计学意义(P<0.05);对照组干预前后的血氧饱和度、呼吸频率比较,差异无统计学意义(P>0.05);研究组干预后的血氧饱和度高于对照组,呼吸频率低于对照组,差异有统计学意义(P<0.05);研究组干预前后的脉率比较,差异无统计学意义(P>0.05);对照组干预后的脉率高于干预前,差异有统计学意义(P<0.05);研究组干预后的脉率低于对照组,差异有统计学意义(P<0.05);研究组患儿的呼吸通畅、酸碱平衡占比高于对照组,差异有统计学意义(P<0.05)。结论对急性哮喘发作期患儿采用无缝隙一体化急救模式可有效提高呼气峰流量、血氧饱和度,控制呼吸频率,促进呼吸通畅、酸碱平衡,同时对脉率无明显影响,值得进行临床推广。Objective To explore the effect of seamless integrated first aid mode in the control of asthma in children with acute exacerbations.Methods A total of 60 children with acute asthma who were admitted in Bo′ai Hospital of Zhongshan City from June 2020 to September 2021 were selected as the research objects,and they were divided into the study group(30 cases)and the control group(30 cases)according to the random number table method,the control group was adopted the conventional emergency mode,and the study group was adopted the seamless integrated emergency mode,the objective indicators such as peak expiratory flow,respiratory frequency,pulse rate,arterial blood oxygen saturation,and the improvement of clinical symptoms between the two groups were compared.Results The peak expiratory flow levels after intervention of the two groups were higher than those before intervention,and the differences were statistically significant(P<0.05).The peak expiratory flow of the study group after intervention was higher than that of the control group,and the difference was statistically significant(P<0.05).The blood oxygen saturation of the study group after intervention was higher than that before intervention,and the respiratory frequency of the study group after intervention was lower than that before intervention,the differences were statistically significant(P<0.05).The comparison of the blood oxygen saturation and respiratory frequency before and after intervention of the control group was not statistically significant(P>0.05).The blood oxygen saturation of the study group after intervention was higher than that of the control group,the respiratory frequency of the study group after intervention was lower than that of the control group,the difference was statistically significant(P<0.05).There was not statistically significant in the pulse rate of the study group before and after intervention(P>0.05).The pulse rate after intervention in the control group was higher than that before intervention,the difference was statistica

关 键 词：无缝隙一体化急救模式 小儿哮喘 急性发作期 病情控制 

分 类 号：R473.72[医药卫生—护理学]