改良吸痰在先天性心脏病合并重症肺炎患儿中的应用

Modified sucking in the application of congenital heart disease with severe pneumonia

目的:探讨改良吸痰方法在先天性心脏病合并重症肺炎低龄患儿中应用的有效性和安全性。方法:53例心脏病合并重症肺炎的低龄患儿随机分成观察组(27例)和对照组(26例),对照组患儿常规的吸痰方法,观察组患儿采取口腔加鼻腔前庭吸引,观察两组患儿吸痰的效果、吸痰时不良反应的发生率。结果:观察组患儿吸痰效果与对照组吸痰效果差异无统计学意义(P>0.05),而不良反应发生率明显低于对照组(P<0.05)。结论:口腔加鼻腔前庭浅层吸引可有效清理先天性心脏病合并肺炎低龄患儿的气道,且在吸痰时的不良反应少,可以在临床应用。

Objective:To investigate the efficacy and safety of improved sucking in congenital heart disease complicated with severe pneumonia.Methods:A total of 60 infants with heart disease and severe pneumonia were randomly divided into observation group (n=30) and control group (n=30).The control group was treated with conventional sputum suction in the basic nursing book.The effect of sucking sputum in the group and the incidence of adverse reactions during sucking.Result:The sucking effect of the observation group was consistent with that of the control group(P>0.05).The difference was not statistically significant,and the incidence of adverse reactions was significantly lower than that of the control group(P<0.05).Conclusion:Oral plus nasal vestibular suction can effectively clean the airway of small infants,and there are few adverse reactions during sucking,which can be used in clinical practice.