改良式拍背吸痰联合呼吸机治疗小儿重症肺炎的效果探析  

Investigation of the Effect of Modified Back Pat and Suction Combined with Ventilator in the Treatment of Pediatric Severe Pneumonia

作　　者：郭绪娜[1] 姚路[1] 张艳萍 GUO Xuna;YAO Lu;ZHANG Yanping(Department of Pediatrics,Shanxian Central Hospital,Heze,Shandong Province,274300 China)

机构地区：[1]单县中心医院儿科,山东菏泽274300

出　　处：《世界复合医学》2022年第5期23-26,共4页World Journal of Complex Medicine

摘　　要：目的探讨对小儿重症肺炎患者采用改良式拍背吸痰+呼吸机进行治疗后获得临床效果。方法选取2018年1月—2020年12月单县中心医院收治的100例小儿重症的肺炎患者,随机分为常规组(常规拍背吸痰法+呼吸机)和研究组(改良式拍背吸痰法+呼吸机),各50例。比较两组患儿治疗结果。结果研究组治疗总有效率(96.00%)高于常规组(78.00%),差异有统计学意义(P<0.05);研究组痰量(3.35±1.13)mL/d、吸痰次数(4.85±1.35)次/d少于常规组痰量(7.49±1.79)mL/d、吸痰次数(12.49±4.25)次/d,平均脱机时间(10.79±2.49)d及平均住院时间(2.85±0.75)d短于常规组平均脱机时间(15.25±3.02)d以及平均住院时间(4.21±0.79)d,差异有统计学意义(P<0.05);治疗后,研究组动脉血二氧化碳分压(PaCO_(2))(42.52±10.49)mmHg低于常规组PaCO_(2)(49.02±9.85)mmHg,动脉血氧分压(PaO_(2))(59.02±12.35)mmHg高于常规组PaO_(2)(52.25±12.49)mmHg,差异有统计学意义(P<0.05);研究组不良反应(皮下出血、肺不张、脱管)总发生率(4.00%)低于常规组(24.00%),差异有统计学意义(χ^(2)=8.305,P<0.05)。结论有效应用改良式拍背吸痰+呼吸机治疗方法后,显著提高患儿治疗效果,可促进小儿重症肺炎患者预后水平提升。Objective To investigate the clinical results obtained after treatment of pediatric patients with severe pneumonia using modified back pat and suction+ventilator.Methods 100 pediatric patients with severe pneumonia who admitted to Shanxian Central Hospital from January 2018 to December 2020 were selected,and randomly divided into a conventional group(conventional back patting and suction method+ventilator)and a study group(modified back patting and suction method+ventilator),with 50 cases each group.compared the treatment outcomes between the two groups of children.Results The total effective rate of treatment in the study group(96.00%)was higher than that in the conventional group(78.00%),the difference was statistically significant(P<0.05).The sputum volume(3.35±1.13)mL/d and the number of aspiration(4.85±1.35)times/d in the study group were less than the sputum volume(7.49±1.79)mL/d and the number of aspiration(12.49±4.25)times/d in the conventional group,and the mean time off the machine(10.79±2.49)d and the mean hospital stay(2.85±0.75)d were shorter than the mean time off the machine(15.25±3.02)d and the mean hospital stay(4.21±0.79)d in the conventional group,the difference was statistically significant(P<0.05).After treatment,PaCO_(2)(42.52±10.49)mmHg in the study group was lower than PaCO_(2)(49.02±9.85)mmHg in the conventional gyoup,and PaO_(2)(59.02±12.35)mmHg was higher than PaO_(2)(52.25±12.49)mmHg in the conventional group,the difference was statistically significant(P<0.05).The overall incidence of adverse reactions(subcutaneous hemorrhage,atelectasis,and detubation)in the study group(4.00%)was lower than in the conventional group(24.00%),the difference was statistically significant(χ^(2)=8.305,P<0.05).Conclusion The effective application of modified back-patting and suctioning+ventilator therapy can significantly improve the treatment outcome of children,and promote the prognosis level of pediatric patients with severe pneumonia.

关 键 词：小儿重症肺炎 改良式拍背吸痰法 呼吸机 治疗效果 

分 类 号：R725[医药卫生—儿科]