高渗盐水雾化痰液诱导联合无创吸痰法在小儿毛细支气管炎护理中的干预效果分析  

Intervention Effect Analysis of Hypertonic Saline Atomized Sputum Induction Combined with Non-Invasive Sputum Aspiration in Nursing of Children with Bronchiolitis

作　　者：朱迎春[1] 黄光霞[1] 王扬弘 胡汝兰 Zhu Yingchun;Huang Guangxia;Wang Yanghong;Hu Rulan(Department of Pediatrics,Guizhou Aerospace Hospital,Zunyi 563000,Guizhou Province,China)

机构地区：[1]贵州航天医院儿科,贵州遵义563000

出　　处：《中国社区医师》2023年第13期95-97,共3页Chinese Community Doctors

基　　金：遵义市科技局(编号:遵市科合HZ字(2021)168号)。

摘　　要：目的:探讨高渗盐水雾化痰液诱导联合无创吸痰法在小儿毛细支气管炎护理中的干预效果。方法:选取2021年1月—2022年6月贵州航天医院收治的100例毛细支气管炎患儿作为研究对象,根据随机数字表法分为观察组与对照组,各50例。对照组给予传统吸痰干预,观察组给予高渗盐水雾化痰液诱导联合无创吸痰法干预。比较两组护理效果。结果:干预后,观察组动脉血酸碱度值、血氧饱和度高于对照组,二氧化碳分压低于对照组,差异有统计学意义(P<0.001)。干预后,观察组气道阻力低于对照组,肺顺应性、潮气量高于对照组,差异有统计学意义(P<0.001)。观察组肺部哮鸣音、咳嗽、喘息消失时间均短于对照组,差异有统计学意义(P<0.001)。观察组不良反应发生率低于对照组,差异有统计学意义(P=0.046)。结论:小儿毛细支气管炎护理中应用高渗盐水雾化痰液诱导联合无创吸痰法的效果显著,可提升患儿呼吸功能,改善血气状况,缓解临床症状,且不良反应少。Objective:To explore the intervention effect of hypertonic saline atomized sputum induction combined with noninvasive sputum aspiration in the nursing of children with bronchiolitis.Methods:A total of 100 children with bronchiolitis treated in Guizhou Aerospace Hospital from January 2021 to July 2022 were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group was given traditional sputum suction intervention,and the observation group was given hypertonic saline atomized sputum induction combined with non-invasive sputum aspiration.The nursing effects were compared between the two groups.Results:After the intervention,the arterial blood pH value and oxygen saturation in the observation group were higher than those in the control group,and the partial pressure of carbon dioxide in the observation group was lower than that in the control group,with statistically significant difference(P<0.001).After the intervention,the airway resistance in the observation group was lower than that in the control group,and the lung compliance and tidal volume in the observation group were higher than those in the control group,with statistically significant difference(P<0.001).The disappearance time of lung wheezing,cough and asthma in the observation group was shorter than that in the control group,with statistically significant difference(P<0.001).The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.046).Conclusion:The application of hypertonic saline atomized sputum induction combined with non-invasive sputum aspiration in the nursing of children with bronchiolitis has a significant effect,which can improve the respiratory function of children,improve the blood gas status,alleviate the clinical symptoms,and has less adverse reactions.

关 键 词：高渗盐水雾化痰液诱导 无创吸痰法 小儿 毛细支气管炎 护理 

分 类 号：R473.72[医药卫生—护理学]