观察小儿急性喉炎行护理干预与布地奈德雾化吸入辅助治疗的临床效果

Observation of clinical effect by nursing intervention and budesonide aerosol inhalation as adjuvant therapy for pediatric acute laryngitis

目的观察对急性喉炎患儿给予护理干预与布地奈德雾化吸入辅助治疗的临床效果。方法 74例急性喉炎患儿,按照入院时间分为研究组与参照组,各37例。参照组给予甲泼尼龙治疗,研究组给予布地奈德雾化吸入辅助治疗,两组给予相同的临床护理干预（治疗中、治疗后护理干预）,比较两组临床效果。结果研究组患儿治疗总有效率为97.3%,明显高于参照组的78.4%,差异具有统计学意义（χ^2=6.198,P=0.013〈0.05）。研究组咳嗽消失时间为（3.73±1.01）d,吸气性喉鸣消失时间为（3.10±0.24）d、呼吸困难消失时间为（4.10±0.20）d、声音嘶哑消失时间为（4.68±1.03）d;参照组咳嗽消失时间为（5.68±1.22）d、吸气性喉鸣消失时间为（5.13±1.03）d、呼吸困难消失时间为（6.88±1.22）d、声音嘶哑消失时间为（6.46±0.73）d。研究组各项症状消失时间早于参照组,差异具有统计学意义（t=7.489、11.676、13.678、8.576,P〈0.05）。结论对急性喉炎患儿给予护理干预与布地奈德雾化吸入辅助治疗效果更加确切,值得临床推广。

Objective To observe clinical effect by nursing intervention and budesonide aerosol inhalation as adjuvant therapy for children patients with acute laryngitis. Methods A total of 74 children patients with acute laryngitis were divided by admission order into research group and control group, with 37 cases in each group. The control group received methylprednisolone for treatment, and the research group received budesonide aerosol inhalation as adjuvant therapy. Both groups received the same clinical nursing intervention （nursing intervention during and after treatment）. Clinical effects were compared between the two groups. Results The research group had obviously higher total effective rate as 97.3% than 78.4% in the control group, and the difference had statistical significance （χ^2=6.198, P=0.013〈0.05）. The research group had cough disappearance time as （3.73 ± 1.01） d, inspiratory laryngeal stridor disappearance time as （3.10 ± 0.24） d, dyspnea disappearance time as （4.10 ± 0.20） d, and hoarseness disappearance time as （4.68 ± 1.03） d. The control group had cough disappearance time as （5.68 ± 1.22） d, inspiratory laryngeal stridor disappearance time as （5.13 ± 1.03） d, dyspnea disappearance time as （6.88 ± 1.22） d, and hoarseness disappearance time as （6.46 ± 0.73） d. The research group had all shorter disappearance time of symptoms than the control group, and their difference had statistical significance （t=7.489, 11.676, 13.678, 8.576, P〈0.05）. Conclusion Implement of nursing intervention and budesonide aerosol inhalation as adjuvant therapy shows precisely curative effect for children patients with acute laryngitis, and this method is worth clinical promotion.