护理干预对小儿重症哮喘机械通气治疗的影响

The effect of nursing intervention on children with severe asthma treated by mechanical ventilation

目的：观察护理干预对小儿重症哮喘机械通气治疗的影响．方法：选择我院2011-10／2013-05诊治的72例哮喘患儿作为研究对象，均采用了机械通气治疗．遵照知情同意原则并按照护理方案将所有患儿分为对照组36例和观察组36例，对照组采用常规护理，观察组加强护理干预，比较两组哮喘患儿的肺功能改善情况及机械通气并发症的发生率．结果：治疗后观察组患儿的用力肺活量（FVC）、第1秒用力呼气容积（FEV1）、最大呼气流量（PEF）改善情况明显优于对照组，且观察组患儿的机械通气并发症发生率为5．6％，明显低于对照组的25．0％，组间差异具有统计学意义（P＜0．05）．结论：护理干预应用于小儿重症哮喘机械通气治疗有助于改善患儿的肺功能，并且减少机械通气并发症的发生，是临床首选的护理方案．

AIM：To observe the effect of nursing intervention on children with severe asthma treated by mechanical ventilation. METHODS：72 cases of asthma were chosen as the research objects in our hospital for diagnosis and treatment from October 2011 to May 2013.They were all taken with mechanical ventilation.In accordance with the principle of informed consent and the nursing program,they were divided into the control group and the observation group with 36 cases in each group.The control group received routine care,while the observation group received strength-ened nursing interventions.The improvements of lung function in children with asthma and the incidence of complications of me-chanical ventilation were compared in two groups.RESULTS：After treatment, the improvements of forced vital capacity （FVC）,forced expiratory volume in 1 second （FEV1 ）,peak ex-piratory flow （PEF）in the observation group were significantly better than that in the control group.And the incidence of concur-rent mechanical ventilation disease in the observation group （5 .6%）was significantly lower than that in the control group （25 .0%）,there were statistically significant differences between the groups （P 〈0.05 ）.CONCLUSION：The application of nursing intervention in children with severe asthma treated by mechanical ventilation can help improve lung function in children, and reduce the incidence of complications of mechanical ventilation.It is the preferred clinical care programs.