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间歇氧驱动雾化吸入对肺炎患儿呼吸循环参数及临床症状的影响
丁浩萍
0
(扬州大学附属医院,江苏扬州 225001)
摘要:
目的:探讨间歇氧驱动雾化吸入给药方式在肺炎患儿中的应用价值。方法:选择我院2015年7月至2017年7月收治的肺炎患儿102例,根据病历单双号随机分为观察组和对照组各51 例,两组患儿均给予抗炎、平喘、止咳、化痰等常规治疗,对照组同时给予持续氧驱动雾化吸入治疗,观察组患儿则给予间歇氧驱动雾化吸入治疗,雾化液均为布地奈德混悬液+硫酸特布他林雾化液+生理盐水,比较两组患儿呼吸循环参数及临床症状的变化情况。结果:观察组患儿用药后的HR、RR、PaCO2均低于对照组,SpO2、PaO2均高于对照组(P均<0.05);观察组患儿有效排痰时间、体温恢复正常时间、喘憋缓解时间、肺部啰音消失时间均短于对照组(P均<0.01);观察组不良反应发生率低于对照组(P<0.01)。结论:选用间歇氧驱动雾化吸入方式治疗有助于 改善肺炎患儿呼吸循环功能,缓解临床症状,降低不良反应发生率。
关键词:  肺炎  间歇氧驱动  雾化吸入  呼吸循环参数  临床症状
DOI:doi:10.13407/j.cnki.jpp.1672-108X.2018.11.007
基金项目:
Effects of Intermittent Oxygen-Driven Nebulisation on Respiratory Parameters and Clinical Symptoms in Children with Pneumonia
Ding Haoping
(Affiliated Hospital of Yangzhou University, Jiangsu Yangzhou 225001, China)
Abstract:
Objective: To investigate the application value of intermittent oxygen-driven nebulisation ( ODN) on children with pneumonia. Methods: Totally 102 children with pneumonia admitted into our hospital from Jul. 2015 to Jul. 2017 were extracted to be randomly divided into observation group and control group through the admission sequence, with 51 cases in each group. All children were given conventional treatment such as anti-inflammatory, anti-asthma, cough relieving and phlegm reducing, on this basis, the control group was given continuous ODN therapy, while the observation group was treated with intermittent ODN therapy, and the spray solution was budesonide suspension+terbutaline sulfate+saline. Changes of respiratory parameters and clinical symptoms in two groups were compared. Results: The HR, RR and PaCO2 of observation group were lower than those of control group, and SpO2 and PaO2 were higher than those of control group (P<0.05). The discharge time of effective sputum, the recovery time of body temperature, the relief time of pneumoconia and the disappearance time of lung rales of observation group were shorter than those of control group (P<0.01), and the incidence of adverse drug reactions of observation group was lower than that of control group (P<0.01). Conclusion: Treatment with intermittent ODN can improve the respiratory circulation function, relieve the clinical symptoms and reduce the incidence of adverse drug reactions in children with pneumonia.
Key words:  pneumonia  intermittent oxygen driven  nebulisation  respiratory and circulatory parameters  clinical symptoms

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