排痰辅助联合药物治疗在小儿肺炎中的效果观察  

Observation on the Effect of Phlegm Excretion Auxiliary Combined Drug Therapy in Children With Pneumonia

作　　者：陈慧[1] 惠迎春[1] CHEN Hui;HUI Yingchun(Department of Pediatrics,Rizhao Hospital of Traditional Chinese Medicine,Rizhao Shandong 276800,China)

机构地区：[1]日照市中医医院儿科,山东日照276800

出　　处：《中国卫生标准管理》2023年第4期20-23,共4页China Health Standard Management

摘　　要：目的观察排痰辅助联合药物治疗在小儿肺炎中的临床治疗效果。方法选取日照市中医医院于2012年3月—2021年3月收治的124例小儿肺炎患儿为研究对象,将其随机分为对照组和研究组,所有患儿均接受常规药物治疗,同时给予对照组患儿以人工叩击排痰,给予研究组患儿以机械振动排痰,比较两组的治疗效果。结果两组治疗总有效率相比,研究组(93.55%)高于对照组(75.81%),差异有统计学意义(P<0.05)。研究组患儿咳嗽、气喘与肺部啰音消失时间均明显短于对照组,且日平均排痰量明显高于对照组,组间比较差异有统计学意义(P<0.05)。研究组患儿治疗后用力肺活量(vital capacity,FVC)、最大呼吸容积(maximum respiratory volume,FEV_(1))、呼气高峰流量(peak expiratory flow,PEFR)等指标水平均高于对照组患儿(P<0.05)。两组不良反应发生率对比,研究组为6.45%,明显低于对照组的25.81%(P<0.05)。结论排痰辅助联合药物治疗在小儿肺炎中的临床治疗效果较佳,不良反应发生较少,安全性较高,值得推广应用。Objective To observe the effect of expectoration combined with drug therapy in children with pneumonia.Methods A total of 124 children with pneumonia admitted to Rizhao Hospital of Traditional Chinese Medicine from March 2012 to March 2021 were selected as the study subjects.They were randomLy divided into the control group and the study group.All patients were treated with conventional drugs.At the same time,the children in the control group were treated with artificial percussion to expel sputum,and the children in the study group were treated with mechanical vibration to expel sputum.The treatment results of the two groups were compared.Results The total effective rate of treatment in the study group(93.55%)was higher than that in the control group(75.81%),and the difference was significant(P<0.05).The disappearance time of cough,asthma and lung rale in the study group was significantly shorter than that in the control group,and the daily average sputum excretion was significantly higher than that in the control group.There was significant difference between the two groups(P<0.05).After treatment,the levels of FVC,FEV_(1),PEFR and other indicators in the study group were higher than those in the control group(P<0.05).The incidence of adverse reactions in the study group(6.45%)was significantly lower than that in the control group(25.81%,P<0.05).Conclusion The clinical effect of expectoration combined with drug therapy in children pneumonia is better,with fewer adverse reactions and higher safety,which is worthy of popularization and application.

关 键 词：小儿肺炎 呼吸系统疾病 人工叩击排痰 机械振动排痰 药物治疗 临床效果 

分 类 号：R725[医药卫生—儿科]