睡前鼻负压冲洗联合雾化吸入对小儿急性支气管炎临床症状及睡眠影响  

The Impact of Pre-Sleep Nasal Negative Pressure Irrigation Combined with Nebulization Inhalation on Clinical Symptoms and Sleep in Children with Acute Bronchitis

作　　者：陈伟琴 朱振宏 邱荣珍 胡香 王慧娉 李翠娥 CHEN Weiqin;ZHU Zhenhong;QIU Rongzhen;HU Xiang;WANG Huipin;LI Cuie(Quanzhou Women′s and Children′s Hospital,Fujian Province,Quanzhou 362000,China;Xiangya Second Hospital,Central South University,Hunan Province,Changsha 410011,China)

机构地区：[1]福建省泉州市妇幼保健院儿童医院,泉州362000 [2]中南大学湘雅二医院,长沙410011

出　　处：《世界睡眠医学杂志》2025年第1期49-52,共4页World Journal of Sleep Medicine

摘　　要：目的:回顾性分析睡前鼻负压冲洗治疗联合雾化吸入对小儿急性支气管炎临床症状、睡眠质量的影响。方法:选取2023年6月至2023年10月泉州市妇幼保健院儿童医院急诊收治的急性支气管炎患儿80例作为研究对象,按照就诊时间不同分为对照组和观察组,每组40例。对照组根据医嘱常规治疗及护理,包括抗感染、平喘止咳等处理,鼻负压冲洗、雾化吸入治疗在日间(08:00-18:00);观察组在对照组基础上,将鼻负压冲洗治疗、雾化吸入各1次安排在睡前(18:00-21:30)。观察2组患儿治疗前后夜间鼻部症状、夜间咳嗽情况及睡眠质量并比较。结果:观察组患儿夜间鼻塞及咳嗽积分情况均优于对照组,差异有统计学意义(P<0.05);观察组患儿睡眠时间、睡眠效率、入睡时间、睡眠质量、睡眠障碍、催眠药及日间功能障碍评分均低于对照组,差异有统计学意义(P<0.05)。结论:睡前鼻负压冲洗治疗联合雾化吸入有助于改善患儿临床症状,提高其睡眠质量,有利于疾病的康复,值得推广使用。Objective:To retrospectively analyze and discuss the impactof pre-sleep nasal negative pressure irrigation combined with nebulizationinhalation on the clinical symptoms and sleep quality of children with acute bronchitis.Methods:A total of 80 children with acute bronchitis admitted to our hospital from June 2023 to October,2023 were selected as the study subjects.They were divided into observation group(daytime visit)and control group(nighttime visit)according to the different time of children′s visit,with 40 patients in each group.The control group received conventional treatment and nursing care according to the medical orders,including anti-infection,asthma relief,and cough suppression,with nasal negative pressure irrigation and nebulization inhalation administered during the daytime(08:00-18:00).The observation group,in addition to the control group′s treatment,received one session of nasal negative pressure irrigation and nebulization inhalation before sleep(18:00-21:30).The nighttime nasal symptoms,nighttime cough,and sleep quality of the two groups were observed and compared before and after treatment.Results:The scores of nasal congestion and cough in the observation group were better than those in the control group,with statistical differences(P<0.05).The scores of sleep duration,sleep efficiency,sleep onset time,sleep quality,sleep disturbances,hypnotics and daytime dysfunction in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:Pre-sleep nasal negative pressure irrigation combined with nebulization inhalation helps improve clinical symptoms and sleep quality in children,promoting disease recovery,and is worthy of widespread use.

关 键 词：睡前 鼻负压冲洗治疗 雾化吸入 急性支气管炎 临床症状 鼻塞 咳嗽 睡眠质量 

分 类 号：R338.63[医药卫生—人体生理学] R562.21[医药卫生—基础医学]