机械辅助排痰法在支气管肺炎患儿护理中的应用  

The Application of Mechanical Assisted Sputum Evacuation Method in the Nursing of Children with Bronchopneumonia

作　　者：钟小梅 李溢祺 余凯 ZHONG Xiaomei;LI Yiqi;YU Kai(Maternal and Child Health Hospital of Huichang County,Ganzhou 342600,China)

机构地区：[1]江西省会昌县妇幼保健院,赣州342600

出　　处：《中国医药指南》2024年第12期12-15,共4页Guide of China Medicine

基　　金：赣州市科技计划项目(20222ZDX8597)。

摘　　要：目的探析为支气管肺炎患儿采取机械辅助排痰护理模式的临床效果,寻求提高患儿治疗期间舒适度的配合方案。方法纳入2022年1月至2023年6月期间在本院接受治疗的支气管肺炎患儿120例为本研究分析对象,按照动态随机分组方法分为人工叩背组30例、机械排痰1组30例、机械排痰2组30例、机械排痰3组30例,人工叩背组予以雾化吸入后行人工叩背辅助排痰治疗,机械排痰1组予以雾化吸入后行机械排痰5 min治疗,机械排痰2组予以雾化吸入后行机械排痰10 min治疗,机械排痰3组予以雾化吸入后行机械排痰20min治疗。从四组患儿排痰依从性、病情控制效果、炎性因子以及家属满意度方面差异进行评价。结果机械排痰组的依从性高于人工叩背组,有统计学意义(P<0.05)。在病情控制,包括咳嗽、咳痰、气促、肺部湿啰音症状的消失时间,机械排痰2组、机械排痰3组患儿短于人工叩背组、机械排痰1组,有统计学意义(P<0.05)。治疗前四组患儿白介素6(IL-6)、C反应蛋白(CRP)、降钙素原(PCT)差异无统计学意义(P>0.05),治疗后指标检测均有改善,且机械排痰2组、机械排痰3组患儿低于人工叩背组,差异有统计学意义(P<0.05)。结论机械辅助排痰法用于支气管肺炎患儿群体有令人满意的配合效果,辅以对应护理措施,可更好的保障患儿在治疗期间的舒适度,提高家属满意度。Objective Exploring the clinical effects of adopting a mechanical assisted sputum evacuation nursing model for children with bronchopneumonia,and seeking a cooperative plan to improve the comfort of the children during treatment.Methods A total of 120 children with bronchopneumonia who received treatment in our hospital from January 2022 to June 2023 were included as the analysis objects of this study.According to the dynamic randomized grouping method,they were divided into 30 cases in the group of manual back percussion,30 cases in the group of mechanical sputum removal 1,30 cases in the group of mechanical sputum removal 2,and 30 cases in the group of mechanical sputum removal 3.The artificial back tapping group was given atomization inhalation and assisted sputum drainage treatment;the mechanical expectoration group 1 was given atomization inhalation and mechanical expectoration for 5 minutes;the mechanical expectoration group 2 was given atomization inhalation and mechanical expectoration for 10 minutes;the mechanical expectoration group 3 was given atomization inhalation and mechanical expectoration for 20 minutes.The differences of sputum discharge compliance,disease control effect,inflammatory factors and family satisfaction among the four groups were evaluated.Results The compliance of mechanical drainage group was higher than that of artificial tapping group,with statistical significance(P<0.05).In terms of disease control,including the disappearance time of symptoms such as cough,sputum production,shortness of breath,and lung moist rales,the recorded data of the mechanical sputum production group 2 and the mechanical sputum production group 3 were shorter than those of the manual back tapping group and the mechanical sputum production group 1,with statistical significance(P<0.05).There was no statistically significant difference in the levels of interleukin-6(IL-6),C-reactive protein(CRP),and procalcitonin(PCT)among the four groups of children before treatment(P>0.05).After treatment,the indicators wer

关 键 词：机械辅助排痰法 支气管肺炎 护理 舒适度 干预效果 

分 类 号：R563.12[医药卫生—呼吸系统] R473.72[医药卫生—内科学]