不同雾化加药顺序对婴幼儿肺炎喘息缓解时间的影响研究  

Study on Effect of Different Atomization Dosing Sequences on the Wheezing Relief Time of Infants with Pneumonia

作　　者：严琳 林秀梅 张小双 李佩玲 陈贤桂 Yan Lin;LinXiumei;Zhang Xiaoshuang;LiPeiling;Chen Xiangui(Zhangzhou Hospital Affiliated to Fujian Medical University,Fuzhou 363000,China)

机构地区：[1]福建医科大学附属漳州市医院,福建福州363000

出　　处：《哈尔滨医药》2024年第1期92-94,共3页Harbin Medical Journal

摘　　要：目的探讨不同雾化加药顺序对婴幼儿喘息性肺炎喘息缓解时间的影响,为改进护理操作流程提供理论依据。方法选取符合入组标准的喘息性肺炎患儿475例随机分为两组,两组患儿均根据儿童喘息性肺炎诊治专家共识制定治疗方案,观察组雾化吸入治疗采用先加生理盐水2mL润滑雾化杯管壁并摇匀,后加其他雾化药物。对照组采用常规的雾化药加药方法,比较两组患儿喘息开始缓解时间、喘息完全消失时间、首个雾化杯使用期间平均每次雾化时间及雾化杯发生堵管时间。结果观察组患儿喘息开始缓解及完全消失时间均早于对照组,差异有统计学意义(P<0.05)。观察组雾化期间平均每次雾化时间短于对照组,雾化杯使用时间明显延长,差异均有统计学意义(P<0.01)。结论行雾化吸入治疗时,先加入生理盐水润滑雾化杯内壁,可缩短患儿雾化时间,保证雾化效果,明显缩短患儿喘息时间,同时可延长雾化杯使用寿命。Objective To explore the effects of different atomization dosing sequences on the asthmatic remission time of Infantile Asthmatic Pneumonia,and to provide theoretical basis for improving nursing operation process.Method A total of 475children with asthmatic pneumonia who met the inclusion criteria were randomLy divided into two groups.The children in both groups were treated according to the consensus of experts in the diagnosis and treatment of children's asthmatic pneumonia.The observation group was treated with atomization inhalation,first adding 2mL normal saline to lubricate the wall of the atomization cup and shaking it well,and then adding other atomization drugs.In the control group,conventional atomization drug dosing method was used.To compare the time of beginning relief of wheezingand the time of complete disappearance of wheezing,the average atomization time and tube plugging time of the first atomization cup during use.Results The time of remission and complete disappearance of wheezing in the observation group was earlier than those in the control group(P<0.05).The average atomization time of the observation group was shorter than that of the control group,and the use time of the atomization cup was significantly prolonged,with statistical significance(P<0.01).Conclusion During atomization inhalation treatment,add normal saline to lubricate the inner wall of the atomization cup,which can shorten the atomization time of children,ensure the atomization effect,significantly shorten the wheezing time of children,and prolong the service life of the atomization cup.

关 键 词：雾化吸入治疗 加药顺序 喘息 婴幼儿 

分 类 号：R725.6[医药卫生—儿科]