摘要
目的:探讨小儿重症肺炎伴心力衰竭的综合救治方法及疗效分析。方法:对本院收治的重症肺炎伴心力衰竭患儿148例的基本资料行回顾性分析。将148例患儿随机分为4组,具体方法为:将患儿分为对照组70例和治疗组78例,对照组给予常规治疗,包括保持呼吸道通畅、吸氧、强心、利尿、抗感染;治疗组在常规治疗的基础上给予酚妥拉明、阿拉明治疗。再分别将对照组70例患儿分为传统护理组34例(Ⅰ组)和规范化护理组36例(Ⅱ组),治疗组78例患儿分为传统护理组38例(Ⅲ组),规范法护理组40例(Ⅳ组)。其中,规范化护理组在传统护理的基础上加上入院评估、急救治护、营养治护、并发症处理及出院指导等措施。结果:4组在治疗后,呼吸频率、心率、CK-MB以及肝肋下增大程度都较治疗前明显改善,但差异无统计学意义(P>0.05);第Ⅳ组治疗有效率明显高于第Ⅰ组,差异有统计学意义(P<0.05);第Ⅱ、Ⅲ组的治疗总有效率也高于第Ⅰ组,但差异无统计学意义(P>0.05)。结论:酚妥拉明与阿拉明合用治疗小儿重症肺炎伴心力衰竭,并给予患儿规范化护理,可明显提高治疗有效率。对于小儿重症肺炎伴心衰的治疗应加强临床用药和规范化护理的联合。
Objective： To analyze rescue measures for severe pneumonia in children and to analyze the curative effects Methods： Data of 148 children with severe pneumonia complicated with heart failure were retrospectively analyzed. And these children were tional therapy The treatment randomly divided into control group （n= 70） and treatment group （n= 78）. The control group was given convenincluding keeping respiratory tract unobstructed, oxygen inhalation, cardiotonic agents, diuresis, antibiotics group was given phentolamine and alamine. Then the control group was subdivided into conventional nursinggroup （group Ⅰ , n=34 cases） and standardized nursing group （group Ⅱ , n=36 cases）. The treatment group was also subdi- vided into conventional nursing group （group Ⅲ , n=38 cases） and standardized nursing group （group Ⅳ, n=40 cases）. For standardized nursing groups, admission assessment, emergency care, nutrition supplier, counterpart measures to complications were applied based on conventional nursing measures. ReSults： After treatment, improvements in breath rate, heart rate, CKMB, and enlarged liver size were obvious in all groups, but the differences were not significant （P〉0.05）. The curative effects of group Ⅱ , Ⅲ and Ⅳ were all better than that of group Ⅰ , but no significant difference （P〉0.05） was found except for group Ⅳ （P〈0.05）. Conclusions： Phentolamine combining with alamine and standardized nursing measures can improve cura- tive rate indicating effective drugs combing with nursing measures are necessary for severe pneumonia in children.
出处
《海南医学院学报》
CAS
2015年第2期241-243,共3页
Journal of Hainan Medical University
基金
广州市卫生科技重点项目(2009-ZDi-15)~~
关键词
小儿重症肺炎
心力衰竭
酚妥拉明
阿拉明
规范化护理
Children with severe pneumonias Heart failures Phentolamine
Alamine
Standardized nursing measures
