不同年龄段重症肺炎患儿应用人工呼吸理疗和振动排痰仪疗效比较

A Comparison of the Effects of Artificial Respiration Therapy and G5 TherAssist Treatment on Children Patients of Various Age Groups with Severe Pneumonia

目的比较不同年龄段重症肺炎患儿应用人工呼吸理疗和G5振动排痰仪的效果。方法将280例重症肺炎患儿先按年龄段分为1个月至3岁组、4～6岁组、7～14岁组,再将各年龄段患儿随机分为人工呼吸理疗(人工)组共135例和G5振动排痰仪(机器)组共145例。两组不同年龄段患儿均按常规抗生素治疗并实施人工呼吸理疗或使用G5振动排痰仪,治疗7d后观察两组不同年龄段患儿肺部体征变化、咳嗽程度、气急症状、肺部啰音、胸部X线渗出影的吸收,比较两种治疗方法对不同年龄段患儿的效果。结果1个月至3岁和4～6岁患儿两种治疗方法疗效比较差异无统计学意义(P>0.05);7～14岁的患儿两种治疗方法疗效比较差异有统计学意义(P<0.01)。结论G5振动排痰仪因其振动作用持久而省力,在较大年龄患儿的使用中,效果优于人工呼吸理疗。

Objective To compare the effects of artificial respiration therapy（ART） and G5 TherAssist treatment on children patients of various age groups with severe pneumonia. Methods 280 such children patients were divided into the 1-month-to-3-year group, 4-6-year group, 7-14-year group, each of which were randomly subdivided into the ART group （n=135） and G5 gronp（n=145）. Both groups of all the age groups were offered, apart from the conventional use of antibiotics, ART or G5 treatment. After 7 days of treatment, a comparison was made of the pulmonary physical changes, severity of coughing, dyspnea, rales of lung, absorption of exudation estimated by chest X-raying between the two groups, and thus the therapeutical effects of the two treatments were compared. Results The comparison between two groups in the 1-month-to-3-year group and the 4-6-year group demonstrated no statistical significance （P〉0.05）, while that in the 7-14-year gronp did （P〈0.01）. Conclusion G5 TherAssist, being labor-saving due to its enduring vibration, is superior to artificial respiration therapy in therapeutical effeet when applied to older children patients, and is suitable for application to them.