不同吸痰方式在支气管肺炎患儿中的应用效果比较  

Comparison of different methods of sputum aspiration in children with bronchopneumonia

作　　者：廖柳红 余丰侠 张晓佳[2] 史瑞鹤 程志伟 Liao Liuhong;Yu Fengxia;Zhang Xiaojia;Shi Ruihe;Cheng Zhiwei(Pediatric Respiratory Department,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院小儿呼吸科,郑州450052 [2]郑州大学第三附属医院小儿神经科,郑州450052 [3]郑州大学第三附属医院病案管理科,郑州450052

出　　处：《中国实用护理杂志》2023年第1期10-15,共6页Chinese Journal of Practical Nursing

摘　　要：目的比较不同吸痰方式在支气管肺炎患儿中的应用效果,探讨适合支气管肺炎患儿的吸痰方法。方法本研究为随机对照试验。采用便利抽样法,选取郑州大学第三附属医院2020年10月8日至2021年9月30日收治住院的165例支气管肺炎患儿为研究对象,采用随机数字表法分为A、B、C组,每组55例,A组使用吸痰管经口鼻吸痰,B组使用橄榄头经鼻吸痰,C组使用吸痰管经口和橄榄头经鼻联合吸痰。比较3组患儿吸痰效果、呼吸道黏膜损伤率以及患儿家长的满意度。结果最终,A组纳入53例,B组54例,C组53例。C组吸痰总有效率为96.21%(584/607),高于A组的94.32%(581/616)和B组的74.12%(464/626),差异有统计学意义(χ^(2)=194.62,P<0.01),3组间两两比较差异均有统计学意义(χ^(2)=95.95、11.32、132.16,均P<0.017);B组呼吸道黏膜损伤率为1.12%(7/626),低于C组的3.13%(19/607)和A组的10.39%(64/616),差异有统计学意义(χ^(2)=63.53,P<0.01),3组间两两比较差异均有统计学意义(χ^(2)=49.52、25.47、6.04,均P<0.017);C组患儿家长满意度为98.11%(52/53),高于B组的90.74%(49/54)和A组的81.13%(43/53),差异有统计学意义(χ^(2)=8.54,P<0.05),A组与B组、B组与C组相比,患儿家长满意度差异均无统计学意义(均P>0.017),A组与C组相比,患儿家长满意度差异有统计学意义(χ^(2)=8.22,P<0.017)。结论使用吸痰管经口和橄榄头经鼻联合吸痰,提升了支气管肺炎患儿吸痰效果和患儿家长的满意度,呼吸道黏膜损伤率较低,安全性高,值得临床借鉴。Objective To compare the effect of different methods of sputum aspiration in children with bronchopneumonia and explore the appropriate sputum aspiration methods for children with bronchopneumonia.Methods This study was a randomized controlled trial.The convenience sampling method was used to select 165 children with bronchopneumonia treated in the Third Affiliated Hospital of Zhengzhou University from October 8,2020 to September 30,2021 as the research objects.They were divided into group A,group B and group C by random number table method,with 55 cases in each group.Group A used sputum aspirating tube to aspirate sputum through mouth and nose,group B used olive head to aspirate sputum through nose,and group C used both sputum aspirating tube to aspirate sputum through mouth and olive head through nose.The sputum aspirating effect,respiratory mucosal injury rate and satisfaction degree of children′s parents were compared among the three groups.Results Finally,there were 53 cases in group A,54 cases in group B and 53 cases in group C.The total effective rate of sputum aspiration was 96.21%(584/607)in group C,which was higher than that in group A 94.32%(581/616)and in group B 74.12%(464/626),the difference was statistically significant(χ^(2)=194.62,P<0.01),pairwise comparison among the three groups showed statistical difference(χ^(2)=95.95,11.32,132.16,all P<0.017).The respiratory mucosal injury rate was 1.12%(7/626)in group B,which was lower than that in group C 3.13%(19/607)and in group A 10.39%(64/616),the difference was statistically significant(χ^(2)=63.53,P<0.01),pairwise comparison among the three groups showed statistical difference(χ^(2)=49.52,25.47,6.04,all P<0.017).The satisfaction degree of children′s parents in group C was 98.11%(52/53),which was higher than that in group B 90.74%(49/54)and in group A 81.13%(43/53),the difference was statistically significant(χ^(2)=8.54,P<0.05).There was no statistically significant difference in the satisfaction degree of children′s parents between group A

关 键 词：支气管肺炎 儿童 吸痰 呼吸道黏膜损伤 满意度 

分 类 号：R725.6[医药卫生—儿科]