鼻负压置换在毛细支气管炎患儿中的应用研究  

Application of nasal negative pressure replacement in children with bronchiolitis

作　　者：吴记梅 吴记红 杨图宏[1] 资晓玲 周金艳[3] WU Jimei;WU Jihong;YANG Tuhong;ZI Xiaoling;ZHOU Jinyan(Department of Pediatric,Hunan Provincial People′s Hospital (The First Affiliated Hospital of Hunan Normal University),Changsha,Hunan 410005,China;Department of Respiratory Medicine,Zhuzhou City Central Hospital,Zhuzhou,Hunan 421000,China;Department of Outpatient,Hunan Provincial People′s Hospital (The First Affiliated Hospital of Hunan Normal University),Changsha,Hunan 410005,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)儿科,长沙410005 [2]湖南省株洲市中心医院呼吸科,421000 [3]湖南省人民医院(湖南师范大学附属第一医院)门诊部,长沙410005

出　　处：《重庆医学》2022年第6期1015-1018,共4页Chongqing medicine

摘　　要：目的探讨鼻负压置换治疗对毛细支气管炎患儿经皮脉搏血氧饱和度(SpO_(2))及呼吸窘迫的影响。方法采用随机数字法将60例毛细支气管炎患儿分为对照组和试验组,对照组采用标准护理措施,试验组在标准护理措施的基础上采用鼻负压置换治疗。观察并比较两组入院时、治疗后第1、2、3天经皮SpO_(2)、呼吸窘迫评分和疾病严重程度。结果与对照组比较,治疗后第1、2、3天试验组SpO_(2)水平和SpO_(2)>94%比例更高,治疗后第2、3天试验组呼吸窘迫评分和疾病严重的患儿比例更低,差异有统计学意义(P<0.05)。结论鼻负压置换可改善毛细支气管炎患儿SpO_(2)和呼吸窘迫。Objective To investigate the effect of nasal negative pressure replacement therapy on percutaneous pulse oximetry(SpO_(2))and respiratory distress in children with bronchiolitis.Methods A total of 60 children with bronchiolitis were divided into control group and experimental group,according to the random number method.The control group adopted standard nursing measures,and the experimental group adopted nasal negative pressure replacement therapy on the basis of standard nursing measures.The changes of transcutaneous SpO_(2),respiratory distress scores and disease severity of the two groups on admission,day one,day two and day three were observed.Results SpO_(2) and the proportion of SpO_(2) greater than 94%of children in the experimental group were significantly higher than those of children in the control group on the one,two and three days after treatment,and the difference was statistically significant(P<0.05).When day two and day three,the respiratory distress score and the proportion of children with severe disease were lower than the control group,with significant differences(P<0.05).Conclusion Nasal negative pressure replacement can improve SpO_(2) and respiratory distress in children with bronchiolitis.

关 键 词：鼻负压置换 治疗 毛细支气管炎 血氧饱和度 呼吸窘迫 

分 类 号：R725.6[医药卫生—儿科]