摘要
目的观察中医辨证结合气道综合护理在重症肺炎患儿中的临床效果及其对肺功能的影响。方法将患儿92例按随机数字表法分为观察组和对照组各46例。对照组采用常规护理,观察组在此基础上予中医辨证结合气道护理。观察两组患儿咳嗽、喘气、肺部啰音症状改善所用时间;Elisa检测血清炎症因子,肺功能仪检查肺功能,协助通气时间和住院时间;呼吸道感染发生情况。结果观察组患儿咳嗽、喘气、肺部啰音改善时间均明显短于对照组(P<0.05);观察组血清白细胞介素-6(IL-6)、白细胞介素-8(IL-8)和肿瘤坏死因子-α(TNF-α)水平均显著低于对照组(P<0.05);观察组最大自主分钟通气量(MVV)、肺活量(VC)及1秒用力呼气容积(FEV1)(%)均高于对照组(P<0.05)。观察组的协助通气时间和住院时间明显短于对照组(P<0.05);观察组患儿发生呼吸道感染率明显低于对照组(P<0.05)。结论中医辨证结合气道综合护理可以有效改善重症肺炎患儿的临床症状,减轻炎症反应,恢复肺功能,降低呼吸道感染发生率。
Objective： To explore the clinical effect of TCM syndrome differentiation combined with airway comprehensive nursing in children with severe pneumonia and its influence on pulmonary function. Methods： 92 cases of children with severe pneumonia were randomly divided into the observation group and the control group, 46 cases in each. The control group used routine care while the observation group was given TCM syndrome dif- ferentiation combined with airway comprehensive nursing on the basis of the control group. The cough,wheezing and the time of pulmonary rales improvement were observed in the two groups. Serum inflammatory factors were detected by Elisa,and pulmonary function was examined by pulmonary function analyzer;ventilation time and hospitalization time were recorded, and respiratory tract infection was observed. Results： The cough, gasping for breath, pulmonary rales in improving time of the observation group were smaller than those of the control group （P 〈 0.05）. The levels of serum IL-6, IL-8 and TNF-α of the observation group were lower than those of the control group （P〈0.05）. The MVV,VC and FEV1 （%） in the observation group were higher than those of the control group （P〈 0.05）. The assisted ventilation time and hospital stay of the observation group were significantly less than those of the control group（P〈 0.05）. The incidence of respiratory tract infection in the observation group was significantly less than in the control group （P〈 0.05）. Conclusion： Traditional Chinese medicine nursing combined with airway comprehensive nursing can effectively improve the clinical symptoms of children with severe pneumonia, reduce inflammation reaction ,recover pulmonary function, and reduce the incidence of respiratory in- fection ,worth clinical promotion.
出处
《中国中医急症》
2017年第12期2253-2256,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
青岛市卫计委科研计划项目(2015-zyw033)
关键词
中医辨证
结合气道综合护理
重症肺炎
肺功能
Traditional Chinese medicine syndrome differentiation
Combined airway comprehensive nursing
Severe pneumonia
Pulmonary function
