气泵雾化吸入联合振动排痰机治疗婴幼儿重症肺炎的效果观察及护理

Nursing and effect of airpump nebulization inhalation combining vibration sputum discharge deviceon treatment of infants with severe pneumonia

目的总结气泵雾化吸入联合振动排痰机在治疗婴幼儿重症肺炎中的作用及护理要点。方法将138例重症肺炎患儿随机分为对照组和实验组各69例，2组均给予常规治疗。对照组在常规治疗的基础上，气泵雾化吸人后给予吸痰；实验组在常规治疗的基础上，气泵雾化吸入后立即给予机械振动排痰、吸痰。比较2组治疗效果。结果2组比较，实验组患儿发热时间、咳嗽咳痰时间及住院时间明显缩短，X线胸片状况好转，血氧分压（PaO2）升高、二氧化碳分压（PaCO2）降低，费用及成本一效果比低。结论气泵雾化吸入联合振动排痰机治疗可有效解决患儿痰液积聚，改善肺部体征，缩短病程，减轻患儿痛苦。

Objective To summarize the effect of airpump nebulization inhalation combining with vibration sputum discharge device in treatment of infants suffering from severe pneumonia and its main nursing point. Methods 138 infants who were attacked by severe pneumonia were divided stochastically into the control group and the experimental group with 69 infants in each group. Infants in both groups were treated with routine method. After airpump nebulization inhalation, sputum extraction was implemented for infants in the control group on basis of common remedy, while after airpump nebulization inhalation, sputum discharge and sputum extraction by mechanical vibration were implemented immediately for in- fants in the experimental group on basis of common remedy. The treatment effect was compared between two groups. Results Comparison between the two groups showed that in the experimental group, the time for fever, cough, expectoration and hospitalization was shorter, chest X-ray improved, PaO2 rose and PaCO2 lowered. Medical cost and cost- effect ratio decreased. Conclusions Airpump nebulization inhalation combining vibration sputum discharge device can effectively solve the problem of sputum accumulation for infants, improve physical sign of lung, shorten course of disease and alleviate state of infant＇s illness.