呼吸机辅助治疗小儿重症毛细支气管炎临床分析

Clinical Analysis of Mechanical Ventilation Therapy for Children with Severe Bronchiolitis

目的:对呼吸机辅助治疗的重症毛细支气管炎的小儿患者进行临床分析。方法:将我院收治的204例重症毛细支气管炎患儿随机平分为两组,一组为呼吸机辅助治疗组,共计102例,另一组为常规治疗组,共计102例。呼吸机辅助治疗组患儿采用小儿呼吸机进行通气支持的呼吸治疗(PEEP5-9cm水柱,氧气浓度45%,湿度98%),常规抗感染、平喘、雾化吸痰、给予糖皮质激素等对症治疗。常规治疗组患儿只采用上述抗感染、平喘、雾化吸痰、给予糖皮质激素等对症治疗。同时对两组患儿采用支持治疗,注意两组患儿的饮食,应进食高营养食物,增强患儿免疫力,促进康复。结果:呼吸机辅助治疗组患儿的平均病程时间明显少于常规治疗组(P<0.05),SpO2大于常规治疗组(P<0.05),心率小于常规治疗组(P<0.05),喘憋消失时间少于常规治疗组(P<0.05)。呼吸机辅助治疗组患儿的并发症发生率小于常规治疗组(P<0.05),满意度评分大于常规治疗组(P<0.05)。结论:呼吸机辅助治疗小儿重症毛细支气管炎的治疗方式可快速有效的改善患儿的呼吸系统症状、纠正代谢异常、缩短病程、提高预后情况、促进患儿康复是目前临床上较为人性化、高效化、安全可靠的治疗方式。

Objective： To analyse ventilator-assisted treatment of severe bronchiolitis in pediatric patients.Method： 204 cases of severe bronchiolitis children were equally divided into two groups,One group with ventilator-assisted therapy group（102 cases）,The other group for the conventional treatment group（102 cases）.Ventilator-assisted treatment group were treated by pediatric ventilator for ventilatory support,respiratory therapy（PEEP5-9cm H2O,45% of the oxygen concentration,humidity 98%）,The conventional treatment was given antiinfection,the atomization suction,and glucocorticoid symptomatic treatment.The conventional treatment group were using only the above-mentioned anti-infection,atomization suction glucocorticoid symptomatic treatment.Two groups of children with supportive care,attention to the diet of two groups of children,should eat a highly nutritious food,and enhance the children immunity,promote rehabilitation.Result： The average duration time of the ventilator-assisted therapy group were significantly less than the conventional therapy group（P 0.05） and SpO2 greater than the conventional therapy group（P 0.05）,heart rate less than the conventional therapy group（P 0.05）,wheezing disappearedless than the conventional therapy group（P 0.05）.The complication rate of ventilator-assisted therapy group were less than the conventional therapy group（P 0.05）,the satisfaction rating was greater than the conventional therapy group（P 0.05）.Conclusion： Ventilator-assisted treatment of severe pediatric severe bronchiolitis treatment can be quickly and effectively to improve children＇s respiratory symptoms,correction of metabolic abnormalities,and shorten the course and prognosis,and promote the rehabilitation of children is clinically more humane and efficient safe and reliable treatment.