158例小儿重症肺炎的护理体会

Nursing Experience of 158 Cases of Children with Severe Pneumonia

目的探讨小儿重症肺炎的护理体会。方法选取我院在2006～2011年间收治的158例重症肺炎患儿,其中男孩80例,年龄在6个月～4岁之间,女孩78例,年龄在6个月～3岁,158例患儿均按照临床标准诊断为重症肺炎。将158例患儿随机分为两组,观察组84例,对照组74例,对两组患儿均进行纠正酸中毒及代谢紊乱、抗感染、对症等常规治疗以增加患儿的免疫能力,其中,观察组患儿在进行上述常规治疗的基础上再对患儿实行酚妥拉明、间羟胺的辅助治疗,再加以周到的护理,对于两组患者的病情改善情况进行跟踪观察,并对所得数据进行记录。结果经过一系列的治疗,两组患儿的病情均有不同程度的改善,其中观察组84例患儿,治愈26例,显效30例,有效18例,无效10例,有效率为88.1%,对照组74例患儿,治愈18例,显效22例,有效16例,无效18例,有效率为75.7%,两组患儿的病情改善情况差异显著,观察组的治疗效果要明显优于对照组的治疗效果,对于患儿病情的康复有较大帮助。结论在治疗小儿重症肺炎时,对患儿进行常规治疗后再加入酚妥拉明、间羟胺进行辅助治疗,再加上必要的周到护理,对于患儿病情的改善有较大的帮助,因此,值得在临床推广应用。

Objective To investigate the nursing experience of children with severe pneumonia.Methods Selected in our hospital during 2006-2011 from 158 cases with severe pneumonia,which were 80 boys,ranging in age from 6 months to 4 years,girls in 78,at the age of 6 months to 3 years,158 cases were in accordance with clinical criteria for a diagnosis of severe pneumonia.158 patients were randomly divided into two groups,84 cases in observation group,74 cases in the control group,the two groups are the correction of acidosis and metabolic disorders,infections,symptomatic and other conventional treatment to increase children ＇s immune capability,which,in observation group in the conventional treatment on the basis of introduction to children phentolamine,metaraminol adjuvant treatment,coupled with attentive care,for two groups of patients with the condition improvement of tracking observation,and the data obtained are recorded.Results After a series of treatment,two groups of children＇s condition were improved in different degree,the observation group of 84 cases,26 cases were cured,30 cases,effective in 18 cases,10 cases ineffective,efficiency of 88.1%,a control group of 74 cases,18 cases were cured,22 cases were markedly effective,16 cases effective,18 cases ineffective,efficiency of 75.7%,in two groups of children＇s condition improved significantly,effect of treatment group was better than control group in the treatment of children with the disease,for the rehabilitation of more help.Conclusion In the treatment of pediatric severe pneumonia,on the children of conventional treatment and adding phentolamine,metaraminol adjuvant therapy,plus the necessary attentive care,for children with the condition improvement have more help,therefore,it is worthy of clinical application.