闭塞性细支气管炎综合征患儿的护理探讨

Nursing Research of Children with Bronchiolitis Obliterans

目的分析总结闭塞性细支气管炎(BO)综合征患儿的护理干预方法和效果。方法选取2012年2月至2014年2月于本院治疗的84例闭塞性细支气管炎综合征患儿,将其随机分为对照组和观察组,每组各42例,对照组患者采用常规护理,观察组患者采用综合护理干预模式,分析对比两组患儿的临床疗效及不良反应发生情况。结果观察组28例患儿痊愈,12例患儿好转,总有效率为95.2%,不良反应发生率为16.7%。对照组12例患儿痊愈,16例患儿好转,总有效率为66.7%,不良反应发生率为54.8%。观察组临床疗效明显优于对照组(P<0.05),观察组不良反应发生率明显少于对照组(P<0.05)。结论闭塞性细支气管炎综合征患儿的临床护理中应结合各项检查,进行良好的肺部护理以预防感染发生,同时,严密监测氧饱和度变化,采取综合护理干预模式,以促使患者恢复健康。

Objective To analyze and summary nursing intervention methods and effect of children with bronchiolitis obliterans. Methods 84 cases of children with occlusive bronchiolitis syndrome in our hospital from February 2012 to February 2014 were selected and randomly divided into control group （42 cases） and observation group （42 cases）. The control group was given routine nursing, the observation group was given comprehensive nursing intervention model. The clinical curative effect and adverse reaction of the two groups were compared and analysed. Results 28 cases in the observation group recovered, 12 cases improved, and the total effective rate was 95.2%, the incidence of adverse reactions was 16.7%. In the control group, 12 cases recovered and 16 cases improved, the total effective rate was 66.7%, the incidence of adverse reaction was 54.8%. Clinical effect of the observation group was better than that of the control group （P 〈0.05）, and adverse reactions was fewer than those of the control group （P 〈0.05）. Conclusion Children with bronchiolitis obliterans should combine with various check and take good lung nursing to prevent infection. At the same time, closely monitoring the oxygen saturation change and taking comprehensive nursing intervention model are necessary to improve patients recover.