非急性期小儿反复呼吸道感染热敏灸干预的护理效果

Nursing Effect of Thermal Moxibustion Intervention on Repeated Respiratory Tract Infection in Children with Non-acute Stage

目的:观察热敏灸干预非急性期小儿反复呼吸道感染的临床护理效果。方法:选择本院门诊2015年7月-2017年7月收治的非急性期小儿反复呼吸道感染患儿60例,按随机数字表法分为试验组与对照组,各30例。试验组根据中医辨证分型分为肺脾气虚、营卫失调、脾肾两虚,依据证型采用不同穴位实施热敏灸干预,同时进行个性化常规护理;对照组采用免疫制剂干预,并给予常规护理。通过检测两组患儿血清IgG、IgA、IgM水平,患儿平均症状消失、发热消退、治疗结束时间及临床护理效果比较分析两种护理方法的临床效果。结果:两组护理后血清IgG、IgA、IgM水平与护理前比较,差异均有统计学意义(P<0.01),治疗后试验组IgG恢复优于对照组(P<0.05);两组护理后平均每次临床症状消失、发热消退、治疗结束时间比较,差异均有统计学意义(P<0.01);两组护理后临床效果评价,试验组有效率与对照组比较差异有统计学意义(P<0.05),好转率、无效率及总有效率比较差异均无统计学意义(P>0.05)。结论:热敏灸干预的常规个性化护理,通过热敏灸不同穴位的热灸,调整了患儿机体呼吸、消化、泌尿等的紊乱,提高患儿抗病能力,有利于提高非急性期小儿反复呼吸道感染的临床护理效果。

Objective:To observe the nursing effect of thermal moxibustion on recurrent respiratory tract infection in non-acute children.Method:60 patients with recurrent respiratory tract infection were enrolled from July 2015 to July 2017 in our hospital,then were randomly divided into the experimental group(n=30)and the control group(n=30)according to the random number table.The patients were divided into lung and spleen deficiency,Ying and Wei disorders,spleen and kidney deficiency according to the TCM syndrome differentiation.Different points were treated by thermal moxibustion and with personalized routine.By detecting the levels of serum IgG,IgA and IgM in children,the clinical effects of two kinds of nursing methods were compared and analyzed,including symptom disappearance,fever subsided,treatment end time and clinical nursing effect.Result:The two groups after nursing of serum IgG,IgA,IgM levels compared with before treatment,the differences were statistically significant(P<0.01),after treatment,the recovery of IgG in the experimental group was better than that in the control group,the difference was statistically significant(P<0.05);there were significant differences between the two groups in clinical symptoms,fever subsided and treatment end time after nursin,the differences were statistically significant(P<0.01).Clinical evaluation in children of two groups after nursing,the effective rate was significant difference between the two groups(P<0.05),improvement rate,ineffective rate and total effective rate were no significant difference between the two groups(P>0.05).Conclusion:Recurrent respiratory tract infection in non-acute children are intervened by thermal moxibustion and the routine physical care,which is beneficial to improve the clinical nursing effect of recurrent respiratory tract infection in non-acute children through the thermal moxibustion at different acupoints,adjust the function of children’s respiratory,digestive and urinary disorders,improve the ability of children to resist disease and the effect of clinical nursing care.