儿童反复上呼吸道感染发作病因分析与防治措施

Pathogeny Analysis and Prevention and Control Measures of Recurrent Episodes of Upper Respiratory Tract Infection in Children

目的:分析引起儿童上呼吸道感染反复发作的主要病因与具体的防治措施,为临床治疗提供相关依据,以达到最佳的防治效果。方法:选取2016年5月-2017年3月本院收治的上呼吸道感染反复发作患者240例,按照随机数字表法将其分为对照组与治疗组,各120例。两组均给予儿童上呼吸道反复感染常规护理,在此基础上,对照组不佩戴防感香佩包,治疗组佩戴防感香佩包,连续佩戴给药4周,两组均以4个月为一个观察期。分析患儿发病原因,比较两组观察期内的发病次数、每次发病的病程、每次发病所间隔的时间,比较两组临床疗效。结果:引起儿童上呼吸道感染反复发作的主要常见原因有病毒感染、免疫异常、营养不良、支气管哮喘、慢性疾病、缺铁性贫血,其中首要原因为病毒感染共占总数的21.2%;治疗组总有效率为82.5%,高于对照组的48.3%,比较差异有统计学意义(X^2=30.960,P=0.000);治疗组发病次数、发病病程时间、发病间隔时间均少于对照组,比较差异均有统计学意义(P<0.05)。结论:引起儿童上呼吸道感染反复发作的病因主要有病毒感染、免疫异常、营养不良等,佩戴防感香佩包能够有效地缓解儿童反复呼吸道感染的临床症状,预防再次复发。

Objective:To analyze the main causes of recurrent respiratory tract infection in children and the specific prevention and control measures,to provide the relevant basis for clinical treatment to achieve the best prevention and control effect.Method:A total of 240 patients with recurrent upper respiratory tract infection in our hospital from May 2016 to March 2017 were selected,according to the random number table method,they were divided into control group and treatment group,120 cases in each group.They were given routine nursing care for children with repeated infection of upper respiratory tract,on this basis,the control group did not wear influenza prevention fragrant bag,and treatment group wore influenza prevention fragrant bag,continued to wear for 4 weeks,they were observed for 4 months.The causes of the disease were analyzed,the disease times,course of each disease,time interval between each disease between two groups in the observation period were compared,and the clinical efficacy of two groups was compared.Result:The main causes of recurrent attacks of children’s upper respiratory tract infections included viral infection,immune abnormalities,malnutrition,bronchial asthma,chronic diseases and iron deficiency anemia.The main reason was viral infection,which accounts for 21.2%of the total.The total effective rate of treatment group was 82.5%,which was higher than 48.3%of control group,the difference was statistically significant(字2=30.960,P=0.000).The the disease times,course of each disease,time interval between each disease of treatment group were less than those of control group,the differences were statistically significant(P<0.05).Conclusion:The main causes of recurrent upper respiratory tract infection in children are virus infection,immune abnormality,malnutrition and so on,wearing influenza prevention fragrant bag can effectively relieve the clinical symptoms of recurrent respiratory infection in children and prevent recurrence.