鼻腔冲洗在儿童呼吸道感染治疗中的应用

Application of nasal flushing in treatment of children's respiratory infection

[目的]探讨鼻腔冲洗在儿童呼吸道感染治疗中的应用效果。[方法]将200例呼吸道感染患儿按随机数字表法分为对照组和观察组,每组100例。对照组患儿给予常规治疗,观察组患儿在对照组基础上联合鼻腔冲洗进行治疗。治疗结束后统计两组患儿的临床总有效率,同时详细记录两组患儿临床症状消失时间和抗生素使用天数,比较治疗前后两组患儿睡眠质量评分和血清中C-反应蛋白(CRP)水平,另外,对比两组患儿治疗期间不良反应发生率。[结果]观察组患儿临床总有效率为97.00%,明显高于对照组的81.00%(P<0.05);观察组患儿热退时间、咳嗽、流涕、鼻塞消失时间和抗生素使用天数均明显低于对照组(P<0.05);与治疗前相比,两组患儿治疗后睡眠质量评分和血清中CRP水平明显下降,同时观察组患儿治疗后睡眠质量评分和血清中CRP水平显著低于对照组,且差异均有统计学意义(P<0.05);对照组患儿不良反应的发生率为2.00%,观察组为6.00%,经比较差异无统计学意义(P>0.05)。[结论]鼻腔冲洗能够有效治疗儿童呼吸道感染,改善临床症状和睡眠质量,降低血清炎症因子水平,同时安全性较高。

Objective:To probe into the application effect of nasal flushing in the treatment of children's respiratory infection.Methods:According to the random table method,a total of 200 cases of children with respiratory infection were divided into control group and observation group with 100 cases in each group.The children in control group were given regular treatment,while the patients in observation group added nasal flushing.After the treatment,the clinical total effective rate of two groups of children was counted,at the same time,the clinical symptoms disappeared time and antibiotic use time in two groups were recorded in detail.The score of sleep quality and serum C-reactive protein(CRP)were compared before and after the treatment.In addition,the incidence of adverse reactions of two groups of children was compared during the treatment.Results:The total clinical efficiency of patients in observation group was 97.00%,which was significantly higher than that in control group 81.00%(P<0.05).The duration of fever,cough,runny nose,time of disappearance of nasal plug and days of antibiotic use in observation group were significantly lower than those in control group(P<0.05).Compared with those before treatment,the sleep quality score and serum CRP level of two groups of patients declined obviously after treatment,at the same time,the sleep quality score and serum CRP level in observation group were significantly lower than those in control group,the differences were statistically significant(P<0.05).The incidence of adverse reactions in control group was 2.00%,while that in observation group was 6.00%.The difference was not statistically significant(P>0.05).Conclusion:Nasal flushing could effectively treat children's respiratory infection,and improve clinical symptoms and sleep quality.It could reduce the levels of inflammatory factors and had high security.