高渗盐水雾化痰液诱导在小儿毛细支气管炎的应用效果观察及护理

Application effect observation of hypertonic saline induced sputum induction in infant bronchiolitis and its nursing

目的探讨小儿毛细支气管炎患者采用高渗盐水雾化痰液诱导治疗的临床应用效果,同时对高渗盐水雾化痰液诱导过程中的护理要点进行总结。方法选取我院儿科2014年2月~2016年2月间收治的小儿毛细支气管炎患者87例作为研究对象,随机分为对照组43例,研究组44例,对照组患者联合使用氯化钠注射液+盐酸氨溴索注射液+硫酸沙丁胺醇注射液联合雾化吸入;研究组患者采用氯化钠注射液和浓氯化钠注射液配制成3%生理盐水进行雾化吸入。两组患儿每日均雾化吸入3次,每次持续5~10min。比较两组患儿治疗后咳嗽、喘息和肺部啰音等症状平均消失的时间,平均住院时间,平均住院费用以及临床治疗效果。结果研究组患儿咳嗽、喘息和肺部啰音平均消失时间、平均住院时间和平均住院费用比较均低于对照组,差异有统计学意义(P<0.05);研究组患儿治疗总有效率为97.7%高于对照组的86.0%,差异有统计学意义(P<0.05)。结论高渗盐水雾化痰液诱导治疗小儿毛细支气管炎临床应用效果显著,此外做好雾化吸入前、雾化吸入中和雾化吸入后的护理也至关重要。

Objective To explore the clinical application effect of hypertonic saline induced sputum induction in infant bronchiolitis,and to summarize the main points of nursing in the course of induction of hypertonic saline atomization sputum. Methods 87 cases of children with bronchiolitis cured in Our hospital from February 2014 to February 2016 were selected as the study objects,and they were randomly divided into control group with 43 cases and study group with 44 cases.Patients in control group were treated with Sodium Chloride Injection＋Ambroxol Hydrochloride Injection＋Salbutamol Sulfate Injection combined inhalation.Patients in study group were treated with Sodium Chloride Injection and Concentrated Sodium Chloride Injection were prepared into 3% normal saline inhalation.Inhalation of 3 times a day,each lasting 5-10rain.Mean time to disappearance of cough,wheezing,and pulmonary rales,mean hospital stay,average hospital costs,and clinical outcomes of the two group were compared. Results The mean time to disappearance of cough,wheezing and lung rales,the average length of hospital stay and average hospitalization costs in the study group were lower than those in the control group,and the difference was significant（P 〈 0.05）.The total effective rate of the treatment group was 97.7%,which was higher than that of the control group with 86.0%,and the difference was significant（P 〈 0.05）. Conclusion The curative effect of hypertonic saline inhalation in the treatment of bronchiolitis in children is significant.Besides,it is also very important to do well in the atomization inhalation,the atomization inhalation and the atomization inhalation.