评价小儿危重症抢救中早期应用血管活性药物治疗的价值  

Value of Early Application of Vasoactive Drugs in the Rescue of Children with Critical Illness

作　　者：孙莹莹[1] 李存宇 SUN Yingying;LI Cunyu(Department of Children's Intensive Care Unit,Tengzhou Central People's Hospital,Tengzhou,Shandong Province,277500 China;Department of Pediatrics,Tengzhou Maternal and Child Health Hospital,Tengzhou,Shandong Province,277500 China)

机构地区：[1]滕州市中心人民医院儿童重症监护室,山东滕州277500 [2]滕州市妇幼保健院儿科,山东滕州277500

出　　处：《系统医学》2024年第4期155-157,161,共4页Systems Medicine

摘　　要：目的 评价分析小儿危重症抢救中早期应用血管活性药物治疗的价值。方法 随机选取2021年1月—2023年3月滕州市中心人民医院抢救治疗的80例危重症患儿作为研究对象,且均为重症肺炎患儿,应用随机数表法划分为参照组、观察组,每组40例,前组实施常规治疗干预,后组在前组基础上早期应用血管活性药物治疗,围绕患儿临床指标改善情况、肺部功能恢复情况、治疗效果、血清因子指标水平进行对比分析。结果 治疗后,观察组患儿临床指标改善情况明显优于参照组,观察组患儿肺部功能恢复情况明显优于参照组,差异有统计学意义(P均<0.05)。观察组患儿治疗总有效率(82.50%)明显高于参照组(97.50%),差异有统计学意义(χ^(2)=5.000,P<0.05)。观察组血清因子指标水平明显优于参照组,差异有统计学意义(P<0.05)。结论 在小儿危重症抢救中,早期给予血管活性药物治疗,能够较快改善患儿临床症状,提高患儿治疗效果,减少患儿痛苦,提高患儿生活质量。Objective To evaluate and analyze the value of early application of vasoactive drugs in the rescue of children with critical illness.Methods A total of 80 critically ill children from Tengzhou Central People's Hospital from January 2021 to March 2023 were randomly selected as the study objects,all of whom were severe pneumonia children.The children were divided into the reference group and the observation group by random number table method,and each group had a group of 40 cases.The former group received routine treatment intervention,and the latter group was supplemented with early vasoactive drug therapy.Comparative analysis was carried out on the improvement of clinical indicators,recovery of pulmonary function,therapeutic effect and serum factor indicators of children.Results After treatment,the improvement of clinical indexes in observation group was significantly better than that in reference group,and the recovery of pulmonary function in observation group was significantly better than that in reference group,and the differences were statistically significant(both P<0.05).The total effective rate in observation group(82.50%) was significantly higher than that in reference group,and the difference was statistically significant(χ^(2)=5.000,P<0.05).The level of serum factor index in observation group was significantly better than that in reference group,and the difference was statistically significant(P<0.05).Conclusion In the rescue of children with critical illness,early vasoactive drug treatment can quickly improve the clinical symptoms of children,improve the therapeutic effect of children,reduce the pain of children,and improve the quality of life of children.

关 键 词：小儿危重症 早期 血管活性药物 

分 类 号：R72[医药卫生—儿科]