机械振动排痰结合纤支镜肺泡灌洗在小儿重症肺炎中的应用效果  

Effect of Mechanical Vibration Sputum Drainage Combined with Bronchoscopic Alveolar Lavage in Children with Severe Pneumonia

作　　者：周娟 曾文靓 ZHOU Juan;ZENG Wenliang(The Second Hospital,University of South China,Hengyang 421001,China;不详)

机构地区：[1]南华大学附属第二医院,湖南衡阳421001

出　　处：《中外医学研究》2024年第34期165-168,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨机械振动排痰结合纤支镜肺泡灌洗在小儿重症肺炎中的应用效果。方法:选取2021年6月—2023年2月南华大学附属第二医院收治的104例重症肺炎患儿,根据随机数表法分为试验组和参照组,参照组给予常规护理措施,试验组患儿并给予机械振动排痰结合纤支镜肺泡灌洗干预,比较两组患儿术后恢复相关指标,并比较两组患儿干预前后血气分析指标,观察两组患儿不良反应发生情况。结果:试验组患儿退热时间、肺啰音消失时间、咳嗽消失时间和住院时间均明显短于参照组,差异有统计学意义(P<0.05)。干预后试验组患儿动脉血氧分压和血氧饱和度均高于参照组,二氧化碳分压低于参照组,差异有统计学意义(P<0.05)。试验组患儿不良反应发生率(5.77%)明显低于参照组(21.15%),差异有统计学意义(P<0.05)。结论:机械振动排痰结合纤支镜肺泡灌洗可促进重症肺炎患儿恢复,缩短住院时间,改善血气指标,减少不良反应。Objective:To investigate the effect of mechanical vibration sputum drainage combined with bronchoscopic alveolar lavage in children with severe pneumonia.Method:A total of 104 children with severe pneumonia treated in the Second Hospital,University of South China from June 2021 to February 2023 were selected and divided into experimental group and reference group according to random number table method.The reference group was given routine nursing measures,and the experimental group was given mechanical vibration sputum drainage combined with bronchoscopic alveolar lavage intervention.Postoperative recovery index were compared between the two groups,blood gas analysis index were compared between the two groups before and after intervention to observe the occurrence of adverse reactions in the two groups.Result:The time of fever reduction,disappearance of pulmonary rashes,disappearance of cough and hospitalization in experimental group were significantly shorter than those in the reference group,the differences were statistically significant(P<0.05).After intervention,the partial pressure of arterial blood oxygen and saturation of blood oxygen in the experimental group were higher than those in the reference group,and the fraction of carbon dioxide was lower than that in the reference group,the differences were statistically significant(P<0.05).The incidence of adverse reactions in experimental group(5.77%)was significantly lower than that in control group(21.15%),the difference was statistically significant(χ^(2)=5.283,P=0.022).Conclusion:Mechanical vibration expectoration combined with bronchoscopic alveolar lavage can promote the recovery of children with severe pneumonia,shorten hospital stay,improve blood gas indexes,and reduce adverse reactions.

关 键 词：机械振动排痰 纤支镜肺泡灌洗 小儿重症肺炎 应用效果 

分 类 号：R725.6[医药卫生—儿科]