ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (6): 638-640.doi: 10.3969/j.issn.1674-3865.2016.06.029

• 临床护理 • 上一篇    下一篇

儿童大叶性肺炎的护理干预

高晓玲   

  1. 110023 沈阳，沈阳市第五人民医院高压氧质控中心
  • 出版日期:2016-12-25 发布日期:2018-11-19
  • 作者简介:高晓玲(1973-)，女，主管护师。研究方向：儿科护理，E-mail：602321834@qq.com

Nursing intervention in children with lobar pneumonia

GAO Xiaoling   

  1. The Fifth People's Hospital of Shenyang, Shenyang 110023，China
  • Online:2016-12-25 Published:2018-11-19

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215

摘要： 目的：观察两种护理方法对儿童大叶性肺炎的护理干预效果。
方法：2015年1月至2016年1月沈阳市第五人民医院儿科收治大叶性肺炎患儿80例，随机分为观察组35例和对照组45例。对照组进行常规护理，观察组在对照组护理基础上对患儿实施雾化吸入治疗、体位引流、背部叩击帮助排痰等措施。观察两组护理效果及发热、憋喘、咳嗽、湿啰音消失时间。
结果：观察组护理总有效率为94.3%(33/35)，高于对照组73.3%(33/45)，差异有统计学意义(P<0.05)。两组发热、咳嗽消失时间比较差异无统计学意义(P>0.05)。观察组湿啰音、憋喘症状消失时间低于对照组，差异有统计学意义(P<0.05)。
结论：对于小儿大叶性肺炎，有效的物理疗法对于辅助治疗该病、促进好转有较理想的效果。

关键词: 肺炎, 护理, 胸部物理疗法, 儿童

Abstract: Objective:To observe the effect of two different kinds of nursing intervention on the children with lobar pneumonia.
Methods:Eighty cases of children with pneumonia, which were treated in the Fifth People's Hospital of Shenyang from January 2015 to January 2016, were randomly divided into two groups. Thirty-five cases of children with pneumonia in the experiment group received additional nursing intervention, including aerosol inhalation, postural drainage and chest physical therapy on the basis of routine drug treatment, while 45 cases in the control group only received the routine drug treatment. Compare the time that clinical symptoms disappeared, such as fever, asthma, cough and crackles. Nursing effect of two groups were compared.
Results:Total effective rate of  nursing in experiment group was 94.3%(33/35),which was higher than that of control group(73.3%, 33/45)（P<0.05）. There were significant differences between the two groups on the disappearance time of crackles and asthma（P<0.05）, but there were no significant differences between the two groups on that of fever and cough（P＞0.05）.
Conclusion：Appropriate nursing intervention is beneficial to the rehabilitation of the children with pneumonia.

Key words: Pneumonia, Nursing, Chest physical therapy, Child