综合护理干预对小儿重症肺炎并发呼吸衰竭的影响

Effect of comprehensive nursing intervention on children with severe pneumonia complicated with respiratory failure

目的:探讨综合护理干预对小儿重症肺炎并发呼吸衰竭的影响。方法:将90例重症肺炎并发呼吸衰竭患儿按照数字列表法随机分为观察组和对照组各45例,两组给予相同的治疗方案,对照组进行常规护理,观察组在此基础上进行综合护理干预,比较两组临床症状缓解情况、血气改变情况及肺功能检测情况。结果:观察组呼吸困难缓解时间、发绀消失时间、肺罗音消失时间、心率恢复时间及住院时间均短于对照组(P<0.05),两组Sa O2、Pa O2、Pa CO2及肺功能检测结果比较差异均有统计学意义(P<0.05)。结论:对重症肺炎并发呼吸衰竭患儿行综合护理干预,可缩短临床症状缓解时间,有效改善患儿呼吸功能。

Objective： To explore the effect of comprehensive nursing intervention on children with severe pneumonia complicated with respiratory failure. Methods： 90 children with severe pneumonia complicated with respiratory failure were randomly divided into the observation group and the control group（ 45 cases in each group）. The children in both group were given the same treatment,the routine nursing care was taken in the control group and the comprehensive nursing intervention was additionally implemented in the observation group. The remission of clinical symptoms,blood gas changes and pulmonary function of the patients were compared between the two groups. Results：The time of dyspnea remission,cyanosis disappearance and pulmonary rales disappearance,heart rate recovery time and hospitalization time were shorter in the observation group than the control group（ P〈0. 05）; there were statistically significant differences in the comparison of the results of Sa O2,Pa O2,Pa CO2 and pulmonary function test between the two groups（ P〈0. 05）. Conclusion： The comprehensive nursing intervention on children with severe pneumonia complicated with respiratory failure can shorten the time of clinical symptom relief,and effectively improve the respiratory function of the children.